Report #2891702

Received Apr 3, 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: Female
Age: 40 yrs
State: TX
Recovered: Not recovered
Vaccinated: Jan 9, 2022
Onset: Jan 1, 2022
Days to onset: —
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	016B21A	AR
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	039A21A	AR
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	3	001J21-2A	AR

Symptoms (11)

Bipolar disorderCholecystectomyCholelithiasisCondition aggravatedEffusionElectrocardiogramHypertensionLaboratory testLaparoscopic surgeryMyopericarditisUltrasound scan

Symptom narrative

MODERNA #1 MAY 21 2021 MODERNA #2 JUNE 18 2021 MODERNA #3 JANUARY 2022 DEVELOPED ATCP HYPERTENSION WORSENED BIPOLAR SYMPTOMS GALLSTONES HAD LAP CHOL 2026 DIAGNOSED WITH MRNA COVID-19 VACCINE MYOPERICARDITIS WITH EFFUSION AND ANA POSITIVE POST VACCINE INJURY SYNDROME TREATED WITH PROTOCOL BASE SPIKE DETOXIFICATION, COLCHICINE, NADOLOL, AND HCQ.

Current illness

BIPOLAR DISORDER, DEPRESSION, OBESITY

Medical history

BIPOLAR DISORDER, DEPRESSION, OBESITY

Allergies

DOXYCYCLINE

Lab data

EXAM, ECG, LABS, ULTRASOUND