Report #2901856

Received Jun 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: Male
Age: 23 yrs
State: FL
Recovered: Recovered
Vaccinated: Apr 13, 2021
Onset: Jun 10, 2021
Days to onset: 58
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	039A21A	SYR / AR

Symptoms (5)

Cardiac monitoringEchocardiogramElectrocardiogramHeart rate irregularMyocarditis

Symptom narrative

Myocarditis, irregular heartbeat

Current illness

None

Medical history

None

Other medications

cetirizine 10 mg tablet (ZyrTEC), probiotic tablets, multivitamin.

Allergies

None

Lab data

ECG 07/10/2021, TTE 07/20/2021, mobile cardiac monitor from 07/21/2021 through 08/03/2021.