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Report #2856684

Received Sep 3, 2025

Hospitalized
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
Female
Age
68 yrs
State
CA
Recovered
Not recovered
Vaccinated
Aug 25, 2025
Onset
Aug 27, 2025
Days to onset
2
Hospital days
7

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
PNC20PNEUMO (PREVNAR20)PFIZER\WYETH1LX4486IM / LA

Symptoms (2)

Faeces discolouredPain in jaw

Symptom narrative

Resident noted on 8/27/2025 with jaw pain and black stool. Per resident, she stated that in the past, these symptoms were associated with blood clots and wanted to be sent to the hospital. Resident sent with daughter/RP to Hospital

Medical history

Osteoarthritis, Dysphagia, Hypovolemic Shock, Difficulty in Walking, Mild protein malnutrition, DM2, Morbid Obesity, COPD, Nausea.

Other medications

Eliquis 5mg PO BID; Omeprazole 20mg PO QD; Aspirin 81mg PO QD; Lasix 40mg PO QD; Miralax 17gm PO PRN; Senna 8.6mg PO PRN; Tylenol 325mg 2 tab PRN; Norco 10-325mg Q6h; Xarelto 15mg 1 tab PO QD; Lidocaine 5% Patch q24h PRN; Fenofibrate 67mg

Allergies

Banana, Cheese, Milk, Oranges

Lab data

N/A