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Report #2904153

Received Jul 20, 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
35 yrs
State
TX
Recovered
Not recovered
Vaccinated
Mar 2, 2021
Onset
Mar 1, 2021
Days to onset
Hospital days

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1042L20AIM / AR
COVID19COVID19 (COVID19 (MODERNA))MODERNA2012A21AIM / AR

Symptoms (11)

Breakthrough COVID-19EchocardiogramElectrocardiogramExercise tolerance decreasedGeneral physical health deteriorationLaboratory testMast cell activation syndromeMetabolic syndromePostural orthostatic tachycardia syndromePyrexiaVaccination failure

Symptom narrative

MODERNA #1 1/20/2021 MODERNA #2 3/2/2021 SEVERE FEBRILE REACTIONS TO INJECTIONS VACCINE FAILURE WITH SEVERE BREAKTHROUGH INFECTION THEN DEVELOPED SNF, POTS, MCAS, EFFORT INTOLERANCE, WORSENED METABOLIC SYNDROME, AND GENERAL DECLINE IN FUNCTIONAL STATUS. TREATED WITH PROTOCOL BASE SPIKE DETOXIFICATION.

Current illness

NONE

Medical history

HYPOTHYROIDISM

Other medications

LEVOTHYROXINE, LIOTHYRONINE

Allergies

MULTIPLE FOOD AND RESPIRATORY ALLERGENS

Lab data

OUTSIDE CLINICS, LAB, ECG, ECHOCARDIOGRAM REFERENCES: