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Report #2891680

Received Apr 3, 2026

Office 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
27 yrs
State
NH
Recovered
Not recovered
Vaccinated
Aug 21, 2021
Onset
Aug 22, 2021
Days to onset
1
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1053E21AAR

Symptoms (9)

DysaesthesiaElectrocardiogramExercise tolerance decreasedFearIncomplete course of vaccinationLaboratory testMalaiseMyopericarditisPalpitations

Symptom narrative

MODERNA #1 08/21/2021 NEXT DAY FELT UNWELL AND DEVELOPED GENERALIZED MALAISE AND PERCEIVED EXERCISE INTOLERANCE. GIVEN FEARS OF FATAL VACCINE MYOPERICARDITIS HE DID NOT TAKE SECOND DOSE IN PRIMARY SERIES. SYMPTOMS LINGERED FOR YEARS AND ADDITIONALLY DEVELOPED PALPITATIONS AND MILD DYSESTHESIAS. DIAGNOSED WITH SUBCLINICAL COVID-19 VACCINE MYOPERICARDITIS AND POST COVID-19 VACCINE INJURY SYNDROME. TREATED WITH PROTOCOL BASE SPIKE DETOXIFICATION.

Current illness

NONE

Medical history

NONE

Other medications

NONE

Allergies

NONE

Lab data

EXAM, LABS, ECG, GXT CONSULTATION WITH CARDIOLOGIST.