Report #2866396

Received Oct 16, 2025

Life-threateningHospitalizedER / 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: 40 yrs
State: MI
Recovered: Not recovered
Vaccinated: Oct 16, 2021
Onset: Oct 16, 2025
Days to onset: 1461
Hospital days: 30

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	UNK	—	—

Symptoms (5)

CardiomyopathyCatheterisation cardiacEchocardiogramEjection fraction decreasedMagnetic resonance imaging

Symptom narrative

Cardiomyopathy severely decreased left ventricle ejection fraction and right down to 10% at its lowest

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

Heart catheter MRI and echocardiogram