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Report #2826975

Received Feb 19, 2025

Life-threateningHospitalizedER / ED visitOffice visitDisabled
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
75 yrs
State
NY
Recovered
Unknown
Vaccinated
Nov 3, 2023
Onset
Nov 4, 2023
Days to onset
1
Hospital days
5

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
RSVRSV (AREXVY)GLAXOSMITHKLINE BIOLOGICALSUNK—IM / LA

Symptoms (8)

Atrioventricular blockCardiac pacemaker evaluationCardiac pacemaker insertionDeathLoss of consciousnessProcedural pneumothoraxRespiratory arrestTranscutaneous pacing

Symptom narrative

loss of consciousness, heart block AV block, death, emergency room temporary external pacemaker connected, procedural pneumothorax, permanent pacemaker procedure, breathing cessation during surgery i.e another death

Current illness

cirrhosis, alcohol use, sleep apnea, hypothyroidism, tachycardia, hypogonadism

Medical history

history of hypoglycemia, history of tobacco use, Schamberg disease, acute kidney injury

Other medications

Nifedipine, Trazodone, Testosterone, Melatonin, Tamsulosin, D3, Magnesium, Gotu Kola, Pine Bark Extract, Fish Oil, Centrum Silver multivitamin, Ascorbic Acid, Porcine Thyroid Extact, Gingko, Zinc, B Complex

Allergies

Thimerosal, chamomile, bandage adhesive, dust mites, pollen

Lab data

pacemaker interrogations

Prior vaccinations

flu like reaction to Moderna COVID vaccine, age 72 and following booster shots every 4 to 6 months