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Report #2859872

Received Sep 18, 2025

HospitalizedER / ED visitOffice visitDisabled
A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex
Male
Age
22 yrs
State
OR
Recovered
Not recovered
Vaccinated
Feb 7, 2021
Onset
Jul 1, 2021
Days to onset
144
Hospital days
1

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1—IM / LA

Symptoms (7)

Chest X-rayComputerised tomogram thoraxEchocardiogramFibrin D dimer increasedHypertensionTachycardiaUltrasound scan

Symptom narrative

High blood pressure (treated with ongoing Rx for Lisinopril 10mg), Tachycardia, elevated d-dimer

Current illness

N/A

Medical history

N/A

Other medications

N/A

Allergies

N/A

Lab data

CT Pulmonary angiogram (23JUL21), echocardiography examination (16AUG21), chest x-ray (23JUL21), ultrasound