VAERS Explorer
Back to explore

Report #2861447

Received Sep 25, 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
80 yrs
State
MN
Recovered
Unknown
Vaccinated
Feb 20, 2021
Onset
Sep 16, 2025
Days to onset
1669
Hospital days
3

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH2EN6203IM / RA

Symptoms (2)

COVID-19SARS-CoV-2 test positive

Symptom narrative

Hospitalization related to COVID 19 following completion of primary vaccine series

Current illness

Acquired deformity of right foot (M21.961) o Actinic keratosis (L57.0) o Aftercare involving internal fixation device o Age-related macular degeneration, dry (H35.3190) o Anemia of chronic disease (D63.8) o Aspiration pneumonia (J69.0) o Astigmatism of both eyes (H52.203) o Chronic back pain (M54.9,G89.29) o Coronary artery disease, occlusive (I25.10) o Depression (F32.9) o Diabetic peripheral neuropathy (E11.42) o Drusen of macula of both eyes (H35.363) o Dupuytren's contracture (M72.0) o Hip fracture (S72.009A) o Hyperlipidemia (E78.5) o Hypertension (I10) o Incomplete emptying of bladder (R33.9) o Irritation of urethra (N36.8) o Knee pain (M25.569) o Leg pain (M79.606) o Lumbar radiculopathy (M54.16) o Male erectile disorder of organic origin (N52.9) o Onychauxis (L60.2) o Osteopenia (M85.80) o Paroxysmal ventricular tachycardia (I47.2) o Peripheral vascular disease (I73.9) o Posterior capsular opacification, right eye (H26.491) o Post-obstructive pneumonia due to foreign body aspiration (J18.9,T17.908S) o Presbyopia of both eyes (H52.4) o Pre-ulcerative calluses (L84) o Pseudophakia of both eyes (Z96.1) o Type 1 diabetes mellitus with ophthalmic manifestation (E10.39) o Venous insufficiency (I87.2)

Medical history

Acquired deformity of right foot (M21.961) o Actinic keratosis (L57.0) o Aftercare involving internal fixation device o Age-related macular degeneration, dry (H35.3190) o Anemia of chronic disease (D63.8) o Aspiration pneumonia (J69.0) o Astigmatism of both eyes (H52.203) o Chronic back pain (M54.9,G89.29) o Coronary artery disease, occlusive (I25.10) o Depression (F32.9) o Diabetic peripheral neuropathy (E11.42) o Drusen of macula of both eyes (H35.363) o Dupuytren's contracture (M72.0) o Hip fracture (S72.009A) o Hyperlipidemia (E78.5) o Hypertension (I10) o Incomplete emptying of bladder (R33.9) o Irritation of urethra (N36.8) o Knee pain (M25.569) o Leg pain (M79.606) o Lumbar radiculopathy (M54.16) o Male erectile disorder of organic origin (N52.9) o Onychauxis (L60.2) o Osteopenia (M85.80) o Paroxysmal ventricular tachycardia (I47.2) o Peripheral vascular disease (I73.9) o Posterior capsular opacification, right eye (H26.491) o Post-obstructive pneumonia due to foreign body aspiration (J18.9,T17.908S) o Presbyopia of both eyes (H52.4) o Pre-ulcerative calluses (L84) o Pseudophakia of both eyes (Z96.1) o Type 1 diabetes mellitus with ophthalmic manifestation (E10.39) o Venous insufficiency (I87.2)

Other medications

Atorvastatin Calcium 40 MG Oral TabletTAKE 1 TABLET BY MOUTH DAILYBD Pen Needle Short U/F 31G X 8 MMUSE WITH INSULIN FOUR TIMES DAILY AS DIRECTEDCarvedilol 6.25 MG Oral TabletTAKE 1 TABLET BY MOUTH TWICE DAILY WITH MEALSCephalexin 500 MG Or

Allergies

No Known Drug Allergies o No Known Environmental Allergies o No Known Food Allergies

Lab data

Covid positive test date 9/16/25