Report #2830037

Received Mar 6, 2025

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: 80 yrs
State: FL
Recovered: Unknown
Vaccinated: Mar 5, 2025
Onset: Mar 5, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	N/A	HY1813	IM / UN

Symptoms (1)

Unevaluable event

Symptom narrative

Pt received a dose in 12/2023 and then a second dose on 03/05/2025

Current illness

n/a

Medical history

n/a

Other medications

carvedilol, symbicort, jantoven, tadalafil, tacrolimus

Allergies

NKDA