Report #2885119

Received Feb 10, 2026

ER / ED visitOffice 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: 57 yrs
State: VA
Recovered: Not recovered
Vaccinated: Sep 10, 2025
Onset: Sep 22, 2025
Days to onset: 12
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	NDC: 80777-0112	LA

Symptoms (2)

Atrial fibrillationElectrocardiogram abnormal

Symptom narrative

A-Fib 12 days later, ended up in ER on 9-22-2025. Given meds & IV & finally was able to go home. Trips to ER again 10-8-2025, 11-9-2025. Am scheduled for ablation in May 2026. See attached office notes.

Current illness

None

Medical history

None

Other medications

Rosuvastatin 5mg

Allergies

Penicillin

Lab data

EKG - A-Fib