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Report #2839020

Received Apr 30, 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
76 yrs
State
MN
Recovered
Recovered
Vaccinated
Feb 12, 2021
Onset
Mar 14, 2025
Days to onset
1491
Hospital days
2

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH2EK4176UN / UN

Symptoms (2)

COVID-19SARS-CoV-2 test positive

Symptom narrative

Hospitalization related to COVID 19 following completion of primary vaccine series

Current illness

Age-related macular degeneration, dry (H35.3190) o Esophageal reflux (K21.9) o Essential hypertriglyceridemia (E78.1) o Lumbar spondylosis (M47.816) o Macular hole of left eye (H35.342) o Male erectile disorder of organic origin (N52.9) o Medial epicondylitis of left elbow (M77.02) o Memory impairment (R41.3) o Notalgia paresthetica (R20.2) o Primary osteoarthritis of right elbow (M19.021) o SI joint arthritis (M47.818

Medical history

Age-related macular degeneration, dry (H35.3190) o Esophageal reflux (K21.9) o Essential hypertriglyceridemia (E78.1) o Lumbar spondylosis (M47.816) o Macular hole of left eye (H35.342) o Male erectile disorder of organic origin (N52.9) o Medial epicondylitis of left elbow (M77.02) o Memory impairment (R41.3) o Notalgia paresthetica (R20.2) o Primary osteoarthritis of right elbow (M19.021) o SI joint arthritis (M47.818

Other medications

Aspirin 81 MG Oral Tablet Delayed ReleaseTAKE 1 TABLET DAILY.B-12 100 MCG Oral TabletFish Oil CAPSOmeprazole 20 MG Oral Capsule Delayed ReleaseTAKE 1 CAPSULE BY MOUTH EVERY OTHER DAYPreserVision/Lutein Oral CapsuleTAKE 1 CAPSULE DAILY.Vitam

Allergies

Codeine Derivatives

Lab data

Covid positive test date 3/14/25