Report #2861580

Received Sep 25, 2025

ER / ED visitOffice 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: 59 yrs
State: ME
Recovered: Not recovered
Vaccinated: Sep 12, 2021
Onset: Aug 10, 2023
Days to onset: 697
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	FF8839	—
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	8841	—

Symptoms (4)

Cutaneous vasculitisImmune system disorderOcular hyperaemiaPeripheral venous disease

Symptom narrative

Emune system both eyes itlormation red eye treat with eye drops 12/22/22-9/13/25 Vastulitus of the skin also emun problem 24 & 25 Cronic insufficey of the legs 2023-2025