Report #2858425

Received Sep 12, 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: 85 yrs
State: CT
Recovered: Not recovered
Vaccinated: Sep 11, 2025
Onset: Sep 11, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	7+	MY9547	IM / RA

Symptoms (4)

ChillsDecreased appetiteRetchingVomiting

Symptom narrative

Patient received vaccination around 8:30 AM on 9/11. Around 3 PM he developed bad shivering/shaking, vomiting, staying under the covers, today has dry heaves and still shivers, no appetite

Other medications

Generic Name Brand Name Tablet Size Instructions for use Atorvastatin Calcium (Tab) Atorvastatin Calcium 10 MG TAKE 1 TABLET BY MOUTH DAILY Cholecalciferol (Cap) Cholecalciferol 50 MCG (2000 UT) Take 2,000 Units by mouth 1 (one) time each

Allergies

morphine