Report #2875886

Received Dec 1, 2025

Life-threateningHospitalizedER / 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: 76 yrs
State: FL
Recovered: Not recovered
Vaccinated: Apr 8, 2021
Onset: Apr 21, 2021
Days to onset: 13
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	039A21A	LA

Symptoms (2)

Cardiac ablationCardiac failure congestive

Symptom narrative

admitted to hospital congestive heart failure April 2021 oblation performed Feb 2022 Dr, same hospital many hospital visits every 3mo visit cardiologist

Current illness

None

Medical history

Other medications

None

Allergies

None