Report #2862117

Received Sep 29, 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: 86 yrs
State: IA
Recovered: Not recovered
Vaccinated: Sep 16, 2025
Onset: Sep 29, 2025
Days to onset: 13
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	MY9550	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUAD)	SEQIRUS, INC.	1	407252	IM / LA

Symptoms (1)

Stomatitis

Symptom narrative

Patient developed mouth sores unknow time after vaccinations that required treatment from health care provider.