Report #2860554

Received Sep 22, 2025

ER / ED visit

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: 39 yrs
State: MI
Recovered: Unknown
Vaccinated: May 25, 2021
Onset: Jul 1, 2021
Days to onset: 37
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	041B21A	SYR / RA

Symptoms (4)

ArrhythmiaChest painElectrocardiogram abnormalPalpitations

Symptom narrative

Misfire in both chambers of the heart, heart palpations

Current illness

None

Medical history

None

Other medications

None

Allergies

Sulfa based

Lab data

July 7, 2021 - Went to urgent care with chest pain and palpations. EKG performed, results were misfire of chambers in the heart and palpitations.