Report #2857283

Received Sep 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: 74 yrs
State: CA
Recovered: Recovered
Vaccinated: Sep 3, 2025
Onset: Sep 3, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19-2	COVID19 (COVID19 (MODERNA BIVALENT))	MODERNA	UNK	3052036	IM / LA

Symptoms (4)

DysphagiaHypertensionThroat tightnessTremor

Symptom narrative

Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Hypertension-Medium, Systemic: Shakiness-Medium, Other Vaccines: VaccineTypeBrand: fluzone high dose; Manufacturer: sanofi; LotNumber: u88008a; Route: im; BodySite: right arm; Dose: ; VaxDate: UNKNOWN