Report #2866947

Received Oct 20, 2025

Life-threateningER / 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: 17 yrs
State: PA
Recovered: Not recovered
Vaccinated: Oct 13, 2021
Onset: Dec 30, 2021
Days to onset: 78
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	FE3590	SYR / AR

Symptoms (11)

Brain fogChest painDyspnoeaEchocardiogramElectrocardiogram ambulatoryFatigueLaboratory test abnormalPericarditisTonsillectomyUltrasound scanX-ray

Symptom narrative

Heart issues (presumed pericarditis per Cardiologist, Hospital), extreme fatigue, brain fog.

Current illness

n/a

Medical history

n/a

Other medications

n/a

Allergies

n/a

Lab data

Multiple ER visits with xrays and ultrasounds trying to identify source of chest pain, shortness of breath. Multiple doctor visits. Echocardiogram. Holter. Visits to brain clinic to try to treat extreme fatigue. Tonsillectomy. Various rounds of lab work which resulted in high readings of different markers.