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Report #2836033

Received Apr 14, 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
34 yrs
State
OR
Recovered
Recovered
Vaccinated
Mar 11, 2025
Onset
Mar 11, 2025
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA4B0005IM / LA
FLU3INFLUENZA (SEASONAL) (FLUCELVAX)SEQIRUS, INC.N/A391417IM / RA
PNC20PNEUMO (PREVNAR20)PFIZER\WYETH1LG5574IM / RA

Symptoms (2)

No adverse eventProduct storage error

Symptom narrative

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

Current illness

None reported

Medical history

congential genu valgum, subluxation of right patella, osteoarthritis of knee, right foot drop, chronic thoracic back pain, pain in left ankle and joints of left foot, migraine headache, fibromyalgia, chronic flank pain, dizziness, chronic neck pain, drug induced movement disorder, anaplastic astrocytoma of brain, hypothyroidism, allergic rhinitis, GERD, asthma, hep C w/o coma, methamphetamine use disorder, alcohol use disorder, opioid use disorder, borderline personality disorder, bipolar 1 disorder, generalized anxiety disorder, attention deficit disorder, nicotine dependence, PTSD, elevated homocysteine, elevated BP without diagnosis of hypertension, drug-induced erectile dysfunction, gait instability

Other medications

divalproex, buprenorphine-naloxone, estradiol valerate, progesterone micronized, spironolactone, nicotine, nicotine polacrilex, vorasidenib, esomeprazole magnesium, levothyroxine, sumatriptan, naloxone

Allergies

penicillins, sulfonamide antibiotics, sulfadiazine, doxycycline, albuterol

Lab data

N/A