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Report #2869352

Received Oct 29, 2025

HospitalizedER / 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
53 yrs
State
AL
Recovered
Not recovered
Vaccinated
Dec 24, 2020
Onset
May 20, 2021
Days to onset
147
Hospital days
7

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH1eh9899IM / RA
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH2el3302IM / LA

Symptoms (6)

Cardiac failureCardiomyopathyEchocardiogramEjection fraction decreasedMagnetic resonance imaging heartUltrasound abdomen

Symptom narrative

dx with heart failure ef less than 20-cardiomyopathy

Current illness

NONE

Medical history

TYPE II DM/HTN/ARTHRITIS

Other medications

METFORMIN 850 DAILY/ VALTORIN 75MG BID/ A BLOOD PRESSURE PILL, DAILY VITAMIN

Allergies

NOT OFFICIAL -LATEX -STATINS

Lab data

MAY OF 21-cardiac mri/ echo/ ultrasound- see dch records for dates