Report #2828851

Received Feb 28, 2025

Hospitalized

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: 86 yrs
State: MN
Recovered: Recovered
Vaccinated: Nov 14, 2024
Onset: Feb 14, 2025
Days to onset: 92
Hospital days: 10

Vaccines (5)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	EM9809	IM / LA
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	2	EN6202	IM / RA
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	3	FF8841	IM / LA
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	4	GJ3277	IM / UN
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	5	LN0589	IM / LA

Symptoms (4)

AstheniaExposure to SARS-CoV-2FallLaboratory test

Symptom narrative

Weakness, falls, exposure to COVID

Current illness

Unknown

Medical history

Hypertension, obstructive sleep apnea, urinary retention, atrial fib

Other medications

Tylenol, carvedilol, kenalog cream, lasix, finasteride, flomax, multi vitamin, vitamin d3, aspirin

Allergies

caffeine, strawberries, poplar tree, sorbitan monolaurate, xarelto

Lab data

IDNOW