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Report #2837513

Received Apr 23, 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
78 yrs
State
MN
Recovered
Recovered
Vaccinated
Feb 17, 2021
Onset
Mar 12, 2025
Days to onset
1484
Hospital days
5

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH2EL9263UN

Symptoms (28)

Ankle brachial index abnormalArthralgiaAtrial fibrillationBack painBalance disorderBenign prostatic hyperplasiaBladder outlet obstructionBlood loss anaemiaCOVID-19Foot deformityGait disturbanceGastrooesophageal reflux diseaseGlucose tolerance impairedHypertensionHyponatraemiaLower urinary tract symptomsMemory impairmentMobility decreasedMuscular weaknessNeuropathy peripheralObesityOrthostatic hypotensionOsteoarthritisPeripheral arterial occlusive diseasePeripheral vascular disorderPeripheral venous diseaseSARS-CoV-2 test positiveUrinary retention

Symptom narrative

Hospitalization related to COVID 19 following completion of primary vaccine series

Current illness

? Health care maintenance 11/02/2022 AAA: Negative screening 2018 Colorectal cancer: 23 polyps, most tubula adenomas, 5/2018 ? Bladder outlet obstruction 10/28/2022 ? BPH (benign prostatic hyperplasia) 10/28/2022 ? Urinary symptom or sign 10/28/2022 ? Anemia due to blood loss 10/28/2022 ? Orthostatic hypotension 10/28/2022 ? Hypertension 10/28/2022 ? Hyponatremia 10/28/2022 ? Obesity (BMI 30-39.9) 10/28/2022 ? Peripheral vascular disease (HCC) 10/28/2022 Abnormal ABI 11/12 suggesting distal L LE arterial disease, asymptomatic ? Prediabetes 10/28/2022 ? Urinary retention 10/28/2022 ? Chronic lumbar pain 10/28/2022 ? Impaired mobility 10/28/2022 ? Muscle weakness 10/28/2022 ? Permanent atrial fibrillation (HCC) 10/28/2022 Incidentally discovered. Status post cardioversion 05/21/2015. TTE unremarkable but for LVH. On warfarin. Currently rate controlled with metoprolol. ? Warfarin anticoagulation 10/28/2022 ? Complaints of memory disturbance 10/28/2022 B12/TSH normal 2018 ? Neuropathy 10/28/2022 On EMG 2020; SPEP, B12 TSH normal. Not diabetic. ? Primary localized osteoarthritis of right knee 10/28/2022 ? Gait disturbance 10/28/2022 ? Right knee pain 10/28/2022 ? Venous stasis 10/28/2022 ? Bunion, left 10/28/2022 ? Balance disorder 10/28/2022 ? Chronic reflux esophagitis 10/28/2022 EGD 2006 and 2007. Erosive esophagitis. No Barrets.

Medical history

? Health care maintenance 11/02/2022 AAA: Negative screening 2018 Colorectal cancer: 23 polyps, most tubula adenomas, 5/2018 ? Bladder outlet obstruction 10/28/2022 ? BPH (benign prostatic hyperplasia) 10/28/2022 ? Urinary symptom or sign 10/28/2022 ? Anemia due to blood loss 10/28/2022 ? Orthostatic hypotension 10/28/2022 ? Hypertension 10/28/2022 ? Hyponatremia 10/28/2022 ? Obesity (BMI 30-39.9) 10/28/2022 ? Peripheral vascular disease (HCC) 10/28/2022 Abnormal ABI 11/12 suggesting distal L LE arterial disease, asymptomatic ? Prediabetes 10/28/2022 ? Urinary retention 10/28/2022 ? Chronic lumbar pain 10/28/2022 ? Impaired mobility 10/28/2022 ? Muscle weakness 10/28/2022 ? Permanent atrial fibrillation (HCC) 10/28/2022 Incidentally discovered. Status post cardioversion 05/21/2015. TTE unremarkable but for LVH. On warfarin. Currently rate controlled with metoprolol. ? Warfarin anticoagulation 10/28/2022 ? Complaints of memory disturbance 10/28/2022 B12/TSH normal 2018 ? Neuropathy 10/28/2022 On EMG 2020; SPEP, B12 TSH normal. Not diabetic. ? Primary localized osteoarthritis of right knee 10/28/2022 ? Gait disturbance 10/28/2022 ? Right knee pain 10/28/2022 ? Venous stasis 10/28/2022 ? Bunion, left 10/28/2022 ? Balance disorder 10/28/2022 ? Chronic reflux esophagitis 10/28/2022 EGD 2006 and 2007. Erosive esophagitis. No Barrets.

Other medications

Unknown

Allergies

NSAIDS, Sulfa

Lab data

Covid positive test date 3/12/2025