Report #2881868

Received Jan 14, 2026

HospitalizedOffice 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: 47 yrs
State: AL
Recovered: Unknown
Vaccinated: Aug 17, 2021
Onset: Apr 11, 2022
Days to onset: 237
Hospital days: 4

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	1	939676	SYR / RA
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	2	088D21A	SYR / RA

Symptoms (6)

Blood glucose abnormalCardiac disorderCatheterisation cardiac abnormalCoronary arterial stent insertionIntestinal resectionLarge intestine polyp

Symptom narrative

Heart disease - May 2022 - heart cath and placement of 2 stents required Blood sugar issues Colon polyps - colon resection required August 2022

Current illness

none

Medical history

in remission for non-Hodgkin's lymphoma since 2007

Other medications

none

Allergies

none