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Report #2892547

Received Apr 13, 2026

Office visit

Reports are unverified and do not show that a vaccine caused an event. Full disclaimer

Overview

Sex
Male
Age
50 yrs
State
MS
Recovered
Unknown
Vaccinated
Aug 4, 2021
Onset
Apr 4, 2026
Days to onset
1704
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH1ew0170IM / LA

Symptoms (4)

Autoimmune disorderCardiac disorderInjection site erythemaNervous system disorder

Symptom narrative

Site: Redness at Injection Site-Mild, Systemic: Autoimmune Disease (diagnosed by MD)-Medium, Systemic: Blood Disorder (diagnosed by MD)-Medium, Systemic: Cardiac Disorder (diagnosed by MD)-Medium, Systemic: Neurological Disorder (diagnosed by MD)-Medium