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Report #2859251

Received Sep 16, 2025

Office visit
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
76 yrs
State
FL
Recovered
Recovered
Vaccinated
Nov 29, 2023
Onset
Nov 29, 2023
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13031632IM

Symptoms (1)

Polymyalgia rheumatica

Symptom narrative

polymyalgia rheumatica

Current illness

None

Medical history

Gout, High blood pressure, BPH,

Other medications

Allopurinol, Tradjenta, Enalapril, Carvedilol, Terazosin, Metformin, Finasteride, Triamcinolone

Allergies

NKDA