Report #2899506

Received Jun 9, 2026

HospitalizedER / ED visitOffice 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: Male
Age: 28 yrs
State: NM
Recovered: Not recovered
Vaccinated: Feb 12, 2021
Onset: Jul 19, 2023
Days to onset: 887
Hospital days: 2

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	042L20A	IM / AR
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	024M20A	IM / AR

Symptoms (5)

Antiphospholipid syndromeInternational normalised ratio increasedPulmonary embolismRespiratory disorderSystemic lupus erythematosus

Symptom narrative

I was diagnosed in April of 2024 with Lupus and high INr blood levels which lead to blood clots in the veins leading to my lungs on Feb 12, 2026 and was later diagnosed with Antiphospholipid Syndrome.

Current illness

N/A

Medical history

N/A

Other medications

N/A

Allergies

N/A

Lab data

I began testing at the Center in October of 23 and the results of those tests in April of 24 is when I was highlighted with having lupus and my INr levels in my blood at an extreme level. Later on Feb 12 2026 I was rushed to the ER with complications to breathe due to blood clots in the veins leading to my lungs due to the events mentioned from 2024.