Report #2893452

Received Apr 21, 2026

Life-threateningOffice 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: Female
Age: 37 yrs
State: NJ
Recovered: Not recovered
Vaccinated: Jan 21, 2021
Onset: Jan 21, 2021
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	—	IM / LA

Symptoms (14)

ArthralgiaC-reactive proteinCytokine testDiarrhoeaEchocardiogramMast cell activation syndromeMigraineMyocarditisOvarian cancerPresyncopePyrexiaRed blood cell sedimentation rate increasedTachycardiaVomiting

Symptom narrative

Myocarditis, tachycardia, diarrhea, fever, near syncope, emesis, ovarian cancer, mast cell activation disorder, arthralgias, chronic migraine headaches

Current illness

none

Other medications

multivitamin

Allergies

Anaphylaxis to pertussis vaccine

Lab data

Cardiac echo, elevate ESR, CRP, cytokines markers