Report #2841601

Received May 19, 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: 75 yrs
State: MD
Recovered: Not recovered
Vaccinated: Sep 13, 2024
Onset: Sep 15, 2024
Days to onset: 2
Hospital days: 1

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3043153	IM / LA

Symptoms (4)

Brain stem strokeFatigueLethargyPollakiuria

Symptom narrative

Systemic: Exhaustion / Lethargy-Medium, Systemic: Urinary frequency-Medium, Systemic: Stroke-Severe, Additional Details: Pt stayed overnight in hospital and then 10 days in rehab recovering. Pt states that stroke was in lower left Pons., Other Vaccines: VaccineTypeBrand: Fluzone High-Dose; Manufacturer: Sanofi-Pasteur; LotNumber: U8489DA; Route: Intramuscular; BodySite: Right Arm; Dose: 1; VaxDate: 09/13/2024