Report #2859245

Received Sep 16, 2025

ER / ED visit

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Overview

Sex: Male
Age: 86 yrs
State: MI
Recovered: Unknown
Vaccinated: Sep 16, 2025
Onset: Sep 16, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	7+	3052583	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUAD)	SEQIRUS, INC.	N/A	407246	IM / LA

Symptoms (2)

DizzinessFall

Symptom narrative

Patient had a fall at approximately 3:30 p.m. upon questioning patient stated that he was walking and went to turn, got dizzy, and fell. EMS was contacted and patient left in ambulance.