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Report #2825939

Received Feb 12, 2025

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
77 yrs
State
PA
Recovered
Not recovered
Vaccinated
Feb 5, 2025
Onset
Feb 5, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAN/A—IM / LA

Symptoms (5)

Abdominal discomfortChillsMalaiseNauseaPain in extremity

Symptom narrative

Patient phoned clinic on 2/7/25 informing office of not feeling well, arms still feels achy, has some chills, taking tylenol PRN. Phoned office 2/10/25 complaining of nervous stomach issues, gurgling and jumpiness, nausea.

Medical history

Irritable bowel syndrome without diarrhea, Mixed hyperlipidemia, Allergic rhinitis, PAD (peripheral artery disease) , LBBB (left bundle branch block), Stenosis of left carotid artery, Embolism and thrombosis of arteries of lower extremity, Depression, Anxiety, Osteoarthrosis, Tobacco dependence syndrome

Allergies

Lactose