Report #2861960

Received Sep 28, 2025

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: 87 yrs
State: WA
Recovered: Not recovered
Vaccinated: Sep 22, 2025
Onset: Sep 23, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	6296953	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	UNK	6296952	IM / LA

Symptoms (7)

ArthralgiaAstheniaDiarrhoeaDyspnoeaGait disturbanceHeadacheMyalgia

Symptom narrative

Frequent headaches, muscular and joint pain, extreme diarrhea, loose on energy and strength, unsteady when I walk, get out of breath easily.

Current illness

None

Medical history

High Blood Press and High Cholesterol

Other medications

Ramipril, Finasteride. Tamsulosin HCL, Rosuvastatin Calcium, Magnesium, Vitamin D3 and Prevagen.

Allergies

None

Lab data

None. Didn't dare leave the home with the extreme diarrhea.