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Report #2836226

Received Apr 15, 2025

Died
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
66 yrs
State
MI
Recovered
Not recovered
Vaccinated
Mar 4, 2021
Onset
May 29, 2023
Days to onset
816
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA2939903SYR / LA

Symptoms (3)

Chest painFatigueMemory impairment

Symptom narrative

Memory fogginess, Tired and Chest pains

Current illness

Early onset diabetes.

Medical history

High Blood Pressure (controlled)

Other medications

Trulicity, Jardiance, Metformin, Daily Vitamin, Benzapril

Allergies

None Known

Lab data

Watch for other signs.

Prior vaccinations

Chest pain, tiredness, memory fog