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Report #2829211

Received Mar 4, 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
63 yrs
State
WV
Recovered
Not recovered
Vaccinated
Dec 29, 2020
Onset
Sep 1, 2022
Days to onset
611
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH1—IM / RA
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH2—IM / LA

Symptoms (5)

BronchiectasisBronchoscopyChest tube insertionPneumoniaThoracotomy

Symptom narrative

onset of Bronchiectasis in Late 2022. None smoker ever. multiple lung infections, Hospital stays, Bronchoscopy's and a Thoracotomy with chest tubes for infection. Ongoing symptoms still.

Current illness

Diabetes

Medical history

Diabetes, Ashhma

Other medications

simvastatin Lisinopril Proair Nova log Metformin Basaglar Symbicort Chlortalidone

Allergies

NKA

Lab data

Pulmonary 11-14-22 and now Clinic 3-20-23 - 6-14-23 University 3-8-24 - Present