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Report #2858161

Received Sep 11, 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
Male
Age
88 yrs
State
MN
Recovered
Recovered
Vaccinated
Mar 3, 2021
Onset
Sep 1, 2025
Days to onset
1643
Hospital days
7

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH2EN6199UN / UN

Symptoms (2)

COVID-19SARS-CoV-2 test positive

Symptom narrative

Hospitalization related to COVID 19 following completion of primary vaccine series

Current illness

Allergic rhinitis (J30.9) o Anxiety (F41.9) o Astigmatism of right eye (H52.201) o Bilateral carpal tunnel syndrome (G56.03) o BPH without obstruction/lower urinary tract symptoms (N40.0) o Compression fracture of L3 vertebra, initial encounter (S32.030A) o Dermatochalasis (H02.839) o Dermatochalasis of eyelids of both eyes (H02.833,H02.836) o Dizziness (R42) o Erectile disorder due to medical condition in male patient (N52.1) o Esophageal reflux (K21.9) o Hearing loss, bilateral (H91.93) o Hyperlipidemia (E78.5) o Hypersomnia (G47.10) o Hypertension (I10) o Joint pain (M25.50) o Lumbar radiculopathy (M54.16) o Osteoarthritis of both knees, unspecified osteoarthritis type (M17.0) o Posterior capsular opacification non visually significant, left eye (H26.492) o Posterior vitreous detachment of right eye (H43.811) o Presbyopia OU (H52.4) o Primary osteoarthritis of both knees (M17.0) o Pseudophakia of both eyes (Z96.1) o Seborrheic keratosis (L82.1) o Splinter of finger (S60.459A)

Medical history

Allergic rhinitis (J30.9) o Anxiety (F41.9) o Astigmatism of right eye (H52.201) o Bilateral carpal tunnel syndrome (G56.03) o BPH without obstruction/lower urinary tract symptoms (N40.0) o Compression fracture of L3 vertebra, initial encounter (S32.030A) o Dermatochalasis (H02.839) o Dermatochalasis of eyelids of both eyes (H02.833,H02.836) o Dizziness (R42) o Erectile disorder due to medical condition in male patient (N52.1) o Esophageal reflux (K21.9) o Hearing loss, bilateral (H91.93) o Hyperlipidemia (E78.5) o Hypersomnia (G47.10) o Hypertension (I10) o Joint pain (M25.50) o Lumbar radiculopathy (M54.16) o Osteoarthritis of both knees, unspecified osteoarthritis type (M17.0) o Posterior capsular opacification non visually significant, left eye (H26.492) o Posterior vitreous detachment of right eye (H43.811) o Presbyopia OU (H52.4) o Primary osteoarthritis of both knees (M17.0) o Pseudophakia of both eyes (Z96.1) o Seborrheic keratosis (L82.1) o Splinter of finger (S60.459A)

Other medications

Acetaminophen 325 MG Oral Tablet650mg every 4 hours prnAspirin 81 MG TABSTAKE 1 TABLET DAILY.Citalopram Hydrobromide 20 MG Oral TabletTAKE 1 TABLET BY MOUTH ONCE DAILYD-1000 25 MCG (1000 UT) Oral TabletTAKE 1 TABLET DAILY.Famotidine 20 MG O

Allergies

o Betadine SOLN o Erythromycin Derivatives

Lab data

Covid positive test date 9/1/25