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Report #2849129

Received Jul 9, 2025

Office visit
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
79 yrs
State
CO
Recovered
Not recovered
Vaccinated
Jul 8, 2025
Onset
Jul 9, 2025
Days to onset
1
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1B0020IM / LA

Symptoms (3)

Full blood countMental status changesMetabolic function test

Symptom narrative

Resident is having altered mental status - labs are being drawn at this time

Current illness

no

Medical history

DM2, sleep apnea, obesity, hypothyroidism, BPH, hyperlipidemia, ileostomy, GERD, HTN

Other medications

simvastatin, lisinopril, nystatin powder, ozempic, degludec, omeprazole, aspirin, tamsulosin, empagliflozin, levothyroxine

Allergies

NKA

Lab data

CBC, CMP