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Report #2835999

Received Apr 14, 2025

Hospitalized
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
Recovered
Vaccinated
Jul 23, 2022
Onset
Jul 24, 2022
Days to onset
1
Hospital days
1

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA6006M21AIM / LA
PNC20PNEUMO (PREVNAR20)PFIZER\WYETH2FJ2604IM / LA
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALS195G27IM / RA

Symptoms (2)

AmnesiaFall

Symptom narrative

The following day, patient was doing yard work and rolled on the ground outside. Wife came by and he could not recognized her. He asked who she was. He was hospitalized for 1 day. He is ok now.

Current illness

NA

Medical history

NA

Other medications

NA

Allergies

NA