Report #2877692

Received Dec 12, 2025

Life-threateningHospitalized

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Overview

Sex: Male
Age: 15 yrs
State: OR
Recovered: Unknown
Vaccinated: Jan 31, 2022
Onset: Mar 12, 2023
Days to onset: 405
Hospital days: 7

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	—	—

Symptoms (1)

Myocarditis

Symptom narrative

Acute Myocarditis