Report #2856865

Received Sep 4, 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: 81 yrs
State: TX
Recovered: Unknown
Vaccinated: Sep 3, 2025
Onset: Sep 4, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	N/A	MD3414	IM / LA

Symptoms (1)

No adverse event

Symptom narrative

There was no adverse reaction.

Current illness

Unknown

Medical history

Unknown

Other medications

Unknown

Allergies

Benzodiazepines, Diphenhydramine, Hydrocodone, Oxycodone

Lab data

None