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Report #2836247

Received Apr 15, 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
44 yrs
State
OR
Recovered
Recovered
Vaccinated
Mar 3, 2025
Onset
Mar 3, 2025
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA3B0005IM / RA
FLU3INFLUENZA (SEASONAL) (FLUCELVAX)SEQIRUS, INC.UNK391417IM / LA
HEPAHEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS14T93RIM / LA

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

insomnia, seasonal allergies, acute kidney injury, acute on chronic combined systolic and diastolic congestive heart failure

Medical history

hypertensive heart and chronic kidney disease with heart failure and stage 1-4 chronic kidney disease, NSTEMI, essential hypertension, acute on chronic congestive heart failure, aneurysm of ascending aorta without rupture, dilated cardiomyopathy, nonrheumatic aortic valve insufficiency, pulmonary hypertension, closed fracture of left clavicle, dizziness, neck pain, subclinical hypothyroidism, sensorineural hearing loss of left ear, conductive hearing loss left ear, tinnitus bilateral, gastrointestinal hemorrhage, chronic gastric ulcer, stage 3b chronic kidney disease, methamphetamine abuse, tobacco use, bipolar 1 disorder, hemoglobin e-beta thalassemia, iron deficiency, history of gastric bypass, gun shot wound, hyperlipidemia, other hemoglobinopathies, anemia of chronic disease, microcytosis,

Other medications

dapagliflozin propanediol, metoprolol succinate, furosemide, pantoprazole, cetirizine, sacubitril valsartan,

Allergies

aspirin, ciprofloxacin, nsaids, sulfonamide antibiotics

Lab data

N/A