Report #2889108

Received Mar 16, 2026

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: —
Recovered: Recovered
Vaccinated: Jan 10, 2026
Onset: Jan 10, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	N/A	K4947	IM / LA

Symptoms (1)

Atrial fibrillation

Symptom narrative

Atrial Fibrillation for 7 hours

Medical history

HFrEF and was in remission

Other medications

metoprolol, Jardiance, Eliquis, spironolactone, entresto

Allergies

penicillin, tylenol with coedine

Prior vaccinations

Two at age 57. Covid-19, September 2, 2025 (SpikeVax, lot 3052583) and FluBlock, 9/5/2025, lot U8823BA)