Report #2835603

Received Apr 10, 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: 75 yrs
State: IA
Recovered: Recovered
Vaccinated: Apr 9, 2025
Onset: Apr 9, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	3043838	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUARIX)	GLAXOSMITHKLINE BIOLOGICALS	N/A	T74KG	IM / RA
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	1	LX4482	IM / LA

Symptoms (1)

Extra dose administered

Symptom narrative

Influenza vaccine was given for a second time for the season. The first time was 9/20/2024.

Current illness

Medical history

heart failure, nontraumatic acute subdural hemorrhage, anemia, Obstructive sleep apnea, Cerebral infarction, major depressive disorder, chronic kidney disease, COPD, hypertension, aneurysm of the ascending aorta without rupture

Other medications

Tylenol, atorvastatin, bupropion, clopidogrel bisulfate, ferrous sulfate, CoQ10, Gabapentin, hydralazine, isosorbide mononitrate, jardiance, lactobacillus, losartan potassium, lidocaine topical patch, magnesium oxiode, melatonin, milk of m

Allergies

NKA