Report #2853499

Received Aug 10, 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: 68 yrs
State: TX
Recovered: Not recovered
Vaccinated: Feb 27, 2022
Onset: Mar 7, 2022
Days to onset: 8
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	4	FK9896	IM / LA

Symptoms (8)

Abdominal distensionBiopsy colon abnormalBlood test abnormalColitis microscopicColonoscopy abnormalDiarrhoeaFlatulenceImmunodeficiency common variable

Symptom narrative

1. Severe recurring diarrhea, gas, bloating - diagnosed by Dr. 06/28/2022 via colonoscopy and biopsy; no previous history prior to COVID-19 vaccines; treated with budesonide, temporary relief only; condition worsened - treated with prednisone 10mg starting 12/2022 with some relief; recurring episodes of severe diarrhea treated with prednisione to current date. 2. Immune system no longer protective - CVID diagnosed 1/12/2024 by Dr.; no previous history prior to COVID-19 vaccines; currently treated with subcutaneous infusion of HyQvia.

Current illness

None

Medical history

Hypertension, sleep apnea

Other medications

Amlodipine, Atenolol, Losartan, Hydrochlorothiazide, Potassium

Allergies

Lisinopril, Sulfa antibiobotics

Lab data

06/28/2022 Colonoscopy with biopsy - diagnosed by pathology as microscopic (collagenous colitis) 1/12/2024 Blood test results - Common Variable Immunodeficiency (CVID)