Report #2894876

Received Apr 29, 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: Female
Age: 63 yrs
State: TX
Recovered: Not recovered
Vaccinated: Sep 22, 2023
Onset: Jul 1, 2024
Days to onset: 283
Hospital days: —

Vaccines (7)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	7006320002	IM / AR
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	7006320002	IM / AR
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	3	8522500103	IM / AR
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	4	7006320002	IM / AR
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	5	7006320002	IM / AR
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	6	A57163R	IM / AR
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	7+	3030371	IM / AR

Symptoms (4)

EchocardiogramElectrocardiogramLaboratory testMyocarditis

Symptom narrative

ALL MODERNA INJECTIONS, STARTED IN AS A CLINICAL RESEARCH SUBJECT. #1 10/1/20, #2 10/26/20, #3 11//23/20, #4 1/7/2021, #5 2/1/21, #6 9/23/22, #7 9/22/23. SUBCLINICAL COVID-19 VACCINE INDUCED MYOPERICARDITIS. TREATED WITH PROTOCOL BASE SPIKE DETOXIFICATION AND COLCHICINE.

Current illness

OBESITY CAD LAD STENT 2018

Medical history

OBESITY CAD LAD STENT 2018

Lab data

EXAM, ECG, ECHOCARDIOGRAM, LABS