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Report #2866949

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
Female
Age
12 yrs
State
PA
Recovered
Not recovered
Vaccinated
Sep 22, 2021
Onset
Sep 1, 2024
Days to onset
1075
Hospital days
—

Vaccines (4)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA4—SYR / AR
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH130135BASYR / AR
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH2FE3590AR
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH3FJ4989SYR / AR

Symptoms (6)

Heart rate abnormalHypotensionLaboratory testOrthostatic hypotensionPostural orthostatic tachycardia syndromeTilt table test

Symptom narrative

low blood pressure. heart rate issues. orthostatic hypotension. POTS.

Current illness

n/a

Medical history

n/a

Other medications

n/a

Allergies

n/a

Lab data

various ER and doctor visits with exams and labwork. tilt table test.