VAERS Explorer
Back to explore

Report #2841118

Received May 15, 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
74 yrs
State
MN
Recovered
Recovered
Vaccinated
Mar 24, 2021
Onset
May 6, 2025
Days to onset
1504
Hospital days
1

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA2—UN / UN

Symptoms (2)

COVID-19SARS-CoV-2 test positive

Symptom narrative

Hospitalization related to COVID 19 following completion of primary vaccine series

Current illness

Acute kidney failure (N17.9) o Asthma (J45.909) o Atrial fibrillation (I48.91) o Chronic obstructive pulmonary disease with acute exacerbation (J44.1) o Compression fracture of vertebra (M48.50XA) o Cough (R05) o Depression (F32.9) o Diabetic peripheral neuropathy (E11.42) o Erectile disorder due to medical condition in male patient (N52.1) o Facet arthropathy (M47.819) o Heart failure with preserved ejection fraction (I50.30) o Hyperlipidemia (E78.5) o Hypertension (I10) o Hypokalemia (E87.6) o Iron deficiency anemia (D50.9) o Lower back pain (M54.5) o Normocytic normochromic anemia (D64.9) o Obesity (E66.9) o Obstructive sleep apnea (G47.33) o Osteoarthritis of knee (M17.10) o Osteoporosis (M81.0) o Positive occult stool blood test (R19.5) o Restless legs syndrome (G25.81) o Shortness of breath at rest (R06.02) o Type 2 diabetes mellitus (E11.9) o Urinary hesitancy (R39.11)

Medical history

Acute kidney failure (N17.9) o Asthma (J45.909) o Atrial fibrillation (I48.91) o Chronic obstructive pulmonary disease with acute exacerbation (J44.1) o Compression fracture of vertebra (M48.50XA) o Cough (R05) o Depression (F32.9) o Diabetic peripheral neuropathy (E11.42) o Erectile disorder due to medical condition in male patient (N52.1) o Facet arthropathy (M47.819) o Heart failure with preserved ejection fraction (I50.30) o Hyperlipidemia (E78.5) o Hypertension (I10) o Hypokalemia (E87.6) o Iron deficiency anemia (D50.9) o Lower back pain (M54.5) o Normocytic normochromic anemia (D64.9) o Obesity (E66.9) o Obstructive sleep apnea (G47.33) o Osteoarthritis of knee (M17.10) o Osteoporosis (M81.0) o Positive occult stool blood test (R19.5) o Restless legs syndrome (G25.81) o Shortness of breath at rest (R06.02) o Type 2 diabetes mellitus (E11.9) o Urinary hesitancy (R39.11)

Other medications

DULoxetine HCl - 30 MG Oral Capsule TAKE 1 CAPSULE Daily Gabapentin 300 MG Oral CapsuleTAKE 2 CAPSULE THREE TIMES DAILYInjectafer 750 MG/15ML Intravenous SolutionINFUSE 750 MG Intravenous REpeat the dose in 7 xdays.Ipratropium-Albuterol 0

Allergies

No Known Drug Allergies o No Known Food Allergies o seasonal allergies

Lab data

Covid positive test date: 4/29/25 and 5/6/25