Report #2881729

Received Jan 13, 2026

HospitalizedER / ED visit

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: 28 yrs
State: MS
Recovered: Recovered
Vaccinated: Jan 5, 2022
Onset: Apr 7, 2023
Days to onset: 457
Hospital days: 5

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	045J21A	RA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	001J212A	RA

Symptoms (7)

Angina unstableAngiocardiogramArteriotomyCardiac ventriculogram leftCatheterisation cardiacScan myocardial perfusionTroponin increased

Symptom narrative

???Atypical unstable angina CCS class IV. ???Abnormal Myoview stress test. ???Minimal troponinosis.

Current illness

N/A

Medical history

N/A

Other medications

N/A

Allergies

N/A

Lab data

?Left heart catheterization ??Selective coronary angiograms ??Left ventriculogram ??6F Angioseal arteriotomy closure