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Report #2879918

Received Dec 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
42 yrs
State
MA
Recovered
Not recovered
Vaccinated
May 25, 2021
Onset
Jul 22, 2021
Days to onset
58
Hospital days
7

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA10038S21ASYR / AR
COVID19COVID19 (COVID19 (MODERNA))MODERNA2014C21ASYR / AR
COVID19COVID19 (COVID19 (MODERNA))MODERNA3041321ASYR / AR

Symptoms (49)

Allergy to chemicalsAnxietyAtrioventricular block second degreeAttention deficit hyperactivity disorderAutonomic nervous system imbalanceBiliary colicBlood pressure increasedBradycardiaCardiac failure chronicCardiac monitoringCardiac pacemaker insertionCholelithiasisChronic fatigue syndromeContrast media allergyCopper metabolism disorderCraniocerebral injuryDrug hypersensitivityElectrocardiogram abnormalEndocrine disorderEssential hypertensionFatigueFrustration tolerance decreasedGlucose tolerance impairedHeart rate decreasedHepatic enzyme increasedHepatic function abnormalHepatic steatosisHidradenitisHistamine intoleranceHypercholesterolaemiaHysterectomyImmunodeficiencyIncreased tendency to bruiseInsomniaIron deficiency anaemiaLoss of employmentMalabsorptionMast cell activation syndromeMyocarditisNephrolithiasisNeuropathy peripheralOrthostatic hypotensionPhotophobiaPolycythaemiaPost-acute COVID-19 syndromeProctalgiaSeborrhoeic dermatitisSleep terrorUmbilical hernia repair

Symptom narrative

After number 2 - Heart rate dropped significantly, doctor performed an EKG at normal check up, sent me home. After #3 I ended up in ER/Hospital stay for Bradycardia and put on a heart monitor, pacemaker implanted shortly thereafter, then neuropathy, frustration, chronic fatigue, job loss, and subsequent diagnosis

Current illness

none

Medical history

before vaccine: ptsd which was mostly resolved, history of asthma resolved. after vaccine: Mobitz type 2 AV HEART BLOCK TYPE 2 with Pacemaker 05/22 Disorder of copper metabolism 7/23 kidney stone 4/22 neuropathy 12/22 Umbilical Hernia Surgery 07/22 Hysterectomy 09/22 Myocarditis 10/22 Chronic Heart failure 6/23 Endocrine Disease 6/23 Insomnia 3/24 Intestional malabsorption 6/23 iron deficiency due to clood loss 11/22 polycythemia 7/23 orthostatic hypotension 6/23 hypercholesterolemia 2/24 anxiety 11/22 elevated bp 10/24 easy bruising 10/24 sebborheic dermatitis 10/24 benign essential hyprtension 11/24 prediabetes 11/24 abnormal liver function 11/24 hepatic steatosis 11/24 gallbladder sludge 11/24 photophobia of both eyes 5/25 night terrors, adult 11/24 elevated liver enzymes 11/24 biliary colic 10/25 rectal pain 10/25 Long Covid 05/23 Immune Deficiency 05/23 Dysautonomia 05/24 TBI Condition 05/24 MCAS 10/24 Hidradenitis suppurativa 10/24 Seborrheic Dermatitis 10/24 ME/CFS 06/23 ADD 02/25

Other medications

none

Allergies

before vaccine: tygan after vaccine: tygan, minocycline, contrast iodine, no gluten, no dairy, no sugar, no red meat or pork, histamine intolerance, chemicals, chemical smells, filtered water only, masking everywhere, mostly housebound.

Lab data

EKG 08/21, EKG 04/22, Mobitz type 2 AV HEART BLOCK TYPE 2 with Pacemaker 05/22 Disorder of copper metabolism 7/23 kidney stone 4/22 neuropathy 12/22 Umbilical Hernia Surgery 07/22 Hysterectomy 09/22 Myocarditis 10/22 Chronic Heart failure 6/23 Endocrine Disease 6/23 Insomnia 3/24 Intestional malabsorption 6/23 iron deficiency due to clood loss 11/22 polycythemia 7/23 orthostatic hypotension 6/23 hypercholesterolemia 2/24 anxiety 11/22 elevated bp 10/24 easy bruising 10/24 sebborheic dermatitis 10/24 benign essential hyprtension 11/24 prediabetes 11/24 abnormal liver function 11/24 hepatic steatosis 11/24 gallbladder sludge 11/24 photophobia of both eyes 5/25 night terrors, adult 11/24 elevated liver enzymes 11/24 biliary colic 10/25 rectal pain 10/25 Long Covid 05/23 Immune Deficiency 05/23 Vaccine Injury from Covdic Vaccine 07/23 Dysautonomia 05/24 TBI Condition 05/24 MCAS 10/24 Hidradenitis suppurativa 10/24 Seborrheic Dermatitis 10/24 ME/CFS 06/23 ADD 02/25