Report #2851663

Received Jul 29, 2025

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: 63 yrs
State: GA
Recovered: Recovered
Vaccinated: Sep 30, 2024
Onset: Sep 30, 2024
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	B0002	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	1	UT8408NA	IM / LA
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	2	HH1326	IM / LA

Symptoms (1)

No adverse event

Symptom narrative

No symptoms of adverse event reported by patient.

Current illness

diabetes, uncontrolled; dyslipidemia,hypertension

Medical history

diabetes, dyslipidemia, hypertension

Other medications

atorvastatin, clotrimazole cream, fluticasone spray, gabapentin, lantus, lisinopril, metformin, fish oil, omeprazole, Rybelsus

Allergies

No known allergies

Lab data

None