Report #2835915

Received Apr 13, 2025

DiedHospitalized

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: 74 yrs
State: CA
Recovered: Not recovered
Vaccinated: Aug 17, 2021
Onset: Dec 1, 2023
Days to onset: 836
Hospital days: 90

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	3	088D21A	IM / RA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	030M20A	IM / RA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	029620A	IM / LA

Symptoms (6)

Cancer surgeryCondition aggravatedImmediate post-injection reactionInfluenza like illnessRadiotherapyRecurrent cancer

Symptom narrative

Flu- like symptoms immediately following injections, RECURRENT CANCER at the same site that was treated with radiation in 1995. TURBO CANCER after 26 years of remission.

Current illness

Hypertropic Cardiomyopathy

Medical history

Aspiration

Other medications

Camzyos 10 mg/day, Levothyroxin 100mcg/day, Atorvactatin 20 mg/day, Busirone 10 mg/2xday, Alprazolam .5mg/day, Nystatin 5mls/4xday, Aspirin 81mg/day, PreviDent 5000ppm

Allergies

Sulfa

Lab data

Surgery-December 2022. Radiation and Immunotherapy - September 2023 through February 2024.