Report #2888379

Received Mar 10, 2026

Life-threateningHospitalizedER / 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: Male
Age: 49 yrs
State: AZ
Recovered: Not recovered
Vaccinated: Dec 1, 2021
Onset: Jan 1, 2022
Days to onset: 31
Hospital days: 1

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	3	—	IM / RA

Symptoms (10)

ArrhythmiaCardiac stress testEchocardiogramElectrocardiogram ambulatoryExercise tolerance decreasedFatigueHypertensionPalpitationsPulmonary function testRespiratory gas exchange disorder

Symptom narrative

HEART ARRHYTHMIA, PALPITATIONS, HIGH BLOOD PRESSURE, OXYGEN/CO2 EXCHANGE DEFICIENCY, FATIGUE - ALL WITHIN 10 DAYS OF VACCINATION. BLOOD PRESSURE MEDICATION TREATED ARRHYTHMIA, PALPITATIONS, AND HIGH BLOOD PRESSURE. FATIGUE AND INABILITY TO PERFORM MODERATE TO HIGH CARDIO EXERCISE REMAIN (OXYGEN/CO2 EXCHANGE)

Current illness

NONE

Medical history

ASTHMA

Other medications

PAROXETINE, SIMVASTATIN, WIXELA, ALBUTEROL, ZIRTEC

Allergies

NONE

Lab data

ECHOCARDIOGRAM, STRESS TEST, HALTER TESTING, BREATHING TESTS