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Report #2853015

Received Aug 6, 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
89 yrs
State
NJ
Recovered
Recovered
Vaccinated
Aug 4, 2025
Onset
Aug 4, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
PNC21PNEUMO (CAPVAXIVE)MERCK & CO. INC.1Y019157IM / RA

Symptoms (4)

DizzinessFallInjection site swellingUrinary incontinence

Symptom narrative

Patient experienced extreme dizziness, fell twice, severe swelling at injection site & under the arm. Patient also reported urinating uncontrollably on himself which has never happened previously.

Current illness

N/A

Medical history

Unknown

Other medications

Lantus Solostar, Humalog Kwikpen, Dorzolomide/Timolol Eye Drops, Lisinopril 10mg, Tamsulosin 0.4mg, Freestyle Libre 2 Sensor, Aspirin 81mg, Latanoprost Eye Drops, Atorvastatin

Allergies

NKDA