Report #2862539

Received Oct 1, 2025

HospitalizedER / ED visitOffice 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: 13 yrs
State: AR
Recovered: Not recovered
Vaccinated: Aug 1, 2021
Onset: May 1, 2024
Days to onset: 1004
Hospital days: 8

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	EW0173	SYR / AR
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	2	FC3183	SYR / AR

Symptoms (12)

Atrial fibrillationCardiac ablationChest tube insertionComputerised tomogramEchocardiogramElectrocardiogramGenetic testingHeart rate increasedMagnetic resonance imaging heartMyocarditisPneumothorax spontaneousX-ray

Symptom narrative

May 2024- rapid heart rate, Dec 2024-ablation for atrial fibrillation, Aug 2025-myocarditis, Sep 2025-spontaneous pneumothorax

Current illness

None

Medical history

None at time of vaccination, now has heart problems, myocarditis, pneumothorax, atrial fibrillation

Other medications

None

Allergies

None at time of vaccination

Lab data

Multiple EKGs and CT May 2024, Ablation 12/2024, multiple X-rays, CTs, echocardiograms, cardiac MRI Aug and Sep 2025, Chest tube Sept 2025, Genetic test for Marfan Syndrome (negative) Sept 2025