Report #2831592

Received Mar 15, 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: 79 yrs
State: CA
Recovered: Recovered
Vaccinated: Nov 4, 2024
Onset: Dec 16, 2024
Days to onset: 42
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	—	IM / LA

Symptoms (2)

HaematuriaLichen planus

Symptom narrative

Lichen Planus and intermittent hematuria

Current illness

None

Medical history

None except well controlled HTN and hypercholesterolemia with above pertinent medicines

Other medications

Lisinopril-HCTZ 20/12.5, Atorvastatin, Multivitamins, Calcium Citrate tablet

Allergies

Boniva