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Report #2835682

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
67 yrs
State
OR
Recovered
Recovered
Vaccinated
Mar 25, 2025
Onset
Mar 25, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA7+B0005IM / LA
FLU3INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)SANOFI PASTEURN/AUT8454CAIM / RA

Symptoms (2)

No adverse eventProduct storage error

Symptom narrative

No adverse event reported. Reporting this VAERS per Moderna after a temperature excursion, vaccine remained viable after the excursion per Moderna.

Current illness

bilateral foot pain, lower back pain

Medical history

type 2 DM, hypertrophic obstructive cardiomyopathy, essential hypertension, automatic cardiac defribrillator, hypertrophic cardiomyopathy, severe left ventricular hypertrophy, osteoarthritis of both knees, unilateral vestibular schwannoma, radiculopathy of lumbar region, orthostatic dizziness, benign paroxysmal positional vertigo, bilateral floaters, mixed conductive and sensorineural hearing loss of right ear, unspecified open-angle glaucoma, atypical serocystic neoplasm pancreas tail, adenocarcinoma of prostate, renal mass, chronic kidney disease stage 3, lower urinary tract symptoms, cannabis use disorder, cocaine use disorder, adjustment disorder, erectile dysfunction, hyperlipidemia, edema

Other medications

ondansetron HCL, finasteride, basaglar insulin, albuterol HFA, aspirin, atorvastatin, entresto, furosemide, jardiance, latanoprost, metformin XR, metoprolol succinate XL, nortriptyline, potassium chloride, spironolactone, tamsulosin, betaxo

Allergies

morphine, atenolol, ibuprofen, sulfamethoxazole-trimethoprim

Lab data

N/A