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Report #2863580

Received Oct 6, 2025

Life-threateningHospitalizedER / ED 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
64 yrs
State
AZ
Recovered
Not recovered
Vaccinated
Sep 4, 2021
Onset
Sep 11, 2021
Days to onset
7
Hospital days
60

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (JANSSEN))JANSSEN1—SYR / LA

Symptoms (3)

Cardiac fibrillationCardioversionMedical induction of coma

Symptom narrative

Was D fibrillation and Induced into a coma for 21 days in the hospital for 2 months permantley Disabled

Current illness

None

Medical history

None

Other medications

None

Allergies

None