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Report #2895334

Received May 4, 2026

DiedER / ED visit

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

Overview

Sex
Male
Age
65 yrs
State
FL
Recovered
Not recovered
Vaccinated
May 8, 2021
Onset
Aug 1, 2021
Days to onset
85
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNAUNK205A21ASYR
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNAUNK212A 21ASYR

Symptoms (3)

Chest painHeart rate irregularHypertension

Symptom narrative

Chest pain blood pressure high irregular heart rate possible stroke or heart attack seen by medical examiner. Asked if he had prior stroke or diagnosed with myocarditis