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Report #2873129

Received Nov 17, 2025

Hospitalized
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
82 yrs
State
PA
Recovered
Unknown
Vaccinated
Sep 29, 2025
Onset
Oct 24, 2025
Days to onset
25
Hospital days
7

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNAUNK3051995IM / LA

Symptoms (1)

Pericarditis

Symptom narrative

pt was diagnosed with pericarditis approx on 10/24/25 which was 3 weeks after the covid vaccine , pt was discharged 10/31/25 and is currently ambulatory and on ibuprofen and colchicine

Current illness

heart, a-fib, hypertension

Medical history

heart, a-fib, hypertension

Other medications

olmesartan, atenolol, rosuvastatin, eliquis, omeprazole, allopurinol

Allergies

tetracyclines

Lab data

unknown - pt self reported