Report #2871907

Received Nov 21, 2025

Life-threateningHospitalized

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: Age unknown
State: PA
Recovered: Unknown
Vaccinated: —
Onset: Oct 9, 2025
Days to onset: —
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	UNK	3052086	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUBLOK)	SANOFI PASTEUR	UNK	U8823CA	IM / LA
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	UNK	3052086	—

Symptoms (22)

Adenovirus test negativeAstrovirus testBacterial test negativeClostridium test negativeEscherichia test negativeGiardia test negativeHelicobacter test negativeIntensive careMyocarditisNorovirus testParasitic test negativeRotavirus test negativeSalmonella test negativeSapovirus testSeptic shockViral test negativeYersinia test negativeCampylobacter testClostridium testEscherichia testParasite stool test negativePolymerase chain reaction negative

Symptom narrative

Myocarditis. All pathogen test were negative. Received covid vaccine 2 weeks prior to onset.

Medical history

NONE

Allergies

NKA

Lab data

11-Oct-2025 Campylobacter PCR - NotDet (Torch) Clostridium difficile toxin A/B PCR - NotDet (Torch) Plesiomonas shigelloides PCR - NotDet (Torch) Salmonella PCR - NotDet (Torch) Vibrio PCR - NotDet (Torch) Vibrio cholerae PCR - NotDet (Torch) Yersinia enterocolitica PCR - NotDet (Torch) Enteroaggregative E. coli (EAEC) PCR - NotDet (Torch) Enteropathogenic E. coli (EPEC) PCR - NotDet (Torch) Enterotoxigenic E. coli (ETEC) PCR - NotDet (Torch) Shiga-like toxin-prod E. coli (STEC) PCR - NotDet (Torch) Shigella/Enteroinvas E. coli (EIEC) PCR - NotDet (Torch) Cryptosporidium PCR - NotDet (Torch) Cyclospora cayetanensis PCR - NotDet (Torch) Entamoeba histolytica PCR - NotDet (Torch) Giardia lamblia PCR - NotDet (Torch) Adenovirus F 40/41 PCR - NotDet (Torch) Astrovirus PCR - NotDet (Torch) ? Norovirus GI/GII PCR NotDet (Torch) ** Rotavirus A PCR - NotDet (Torch) Sapovirus PCR - NotDet (Torch)