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Report #2859978

Received Sep 19, 2025

Office 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
29 yrs
State
CA
Recovered
Not recovered
Vaccinated
Jan 6, 2021
Onset
Jan 1, 2021
Days to onset
—
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1032H20ASYR / AR
COVID19COVID19 (COVID19 (MODERNA))MODERNA2012M20ASYR / AR

Symptoms (6)

Chest painFibromyalgiaHallucination, visualInflammationNeuropathy peripheralPain

Symptom narrative

Developed chest pain, neuropathy's in both arms. Developed inflammatory response to all required annual flu shots. Patient has since developed chronic pain syndrome, fibromyalgia, and visual hallucinations/visual alterations/Persistive Positive Visual Phenomena.

Medical history

History of testicular cancer.