Report #2853348

Received Aug 8, 2025

ER / ED 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: 39 yrs
State: CA
Recovered: Not recovered
Vaccinated: Jul 16, 2021
Onset: Jun 10, 2022
Days to onset: 329
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	1	206A21A	IM

Symptoms (6)

Ankle fractureChillsCoagulopathyLoss of consciousnessMalaisePyrexia

Symptom narrative

Extremely sick weekend after - chills - fever - then got severe issues with clotting likely - passed out and broke ankle .

Current illness

None

Medical history

None

Other medications

None

Allergies

None