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Report #2856673

Received Sep 3, 2025

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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
72 yrs
State
TX
Recovered
Unknown
Vaccinated
Mar 1, 2021
Onset
Mar 1, 2021
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA3012A21AIM / LA

Symptoms (3)

Autoimmune pancreatitisBiopsy lymph glandImmunoglobulin G4 related disease

Symptom narrative

Autoimmune Pancreatitis 2021 and IgG4 related diseases 2025

Current illness

none

Medical history

osteoarthritis

Other medications

lipitor, Multivitamins, celebrex, voltaren gel

Allergies

Iodine

Lab data

see previous information and biopsy of submaxillary node on VA Med center