Report #2857876

Received Sep 10, 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: 75 yrs
State: CA
Recovered: Not recovered
Vaccinated: Sep 5, 2025
Onset: Sep 6, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	7+	3052296	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	7+	U8847BA	IM / LA

Symptoms (3)

FatigueInjection site painPyrexia

Symptom narrative

Fever, fatigue, injection site soreness

Current illness

None

Medical history

Atrial fibrillation, atrial flutter

Other medications

Multaq, carvedilol, rosuvastatin, aspirin, cetirizine, omega-3 fish oil, zinc, multi-vitamin, vitamin D3, calcium carbonate, magnesium glycinate

Allergies

Amiodarone