Report #2858681

Received Sep 15, 2025

Life-threateningOffice visitDisabled

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: 63 yrs
State: WA
Recovered: Recovered
Vaccinated: Mar 18, 2025
Onset: Mar 19, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	—	RA
FLUX	INFLUENZA (SEASONAL) (NO BRAND NAME)	UNKNOWN MANUFACTURER	UNK	—	LA

Symptoms (9)

AstheniaBlood testDecreased appetiteGait inabilityHyperhidrosisMalaiseMobility decreasedNauseaPyrexia

Symptom narrative

Weak. In bed. Lost Appetite. Nausea. Unable to Ambulate. Sweating. Fever 102 F. 14 Days Bed Ridden very sick.

Current illness

None N/A

Medical history

Diabetes 2 Mellitus Obesity Hyperlipidemia

Other medications

Insulin Gabapentin Atorvastatin Glipizide

Allergies

None N/A

Lab data

Facility Blood Testing, Swabs Nasal