Report #2862127

Received Sep 29, 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: 82 yrs
State: OH
Recovered: Recovered
Vaccinated: Sep 15, 2025
Onset: Sep 16, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	7+	3052030	IM / LA

Symptoms (16)

AstheniaBlood folateBlood glucoseBlood magnesiumBlood thyroid stimulating hormoneChest X-rayEchocardiogramElectrocardiogramFull blood countGlycosylated haemoglobinHypotensionMetabolic function testRenal function testTroponinUrine analysisVitamin B12

Symptom narrative

Generalized weakness and low BP.

Medical history

HTN, CAD, Dyslipidemia, Type 2 DM, Enlarged prostate, Hypothyroidism, GERD, Leukemia

Other medications

1. acalabrutinib maleate (CALQUENCE) 2. aliskiren (Tekturna) 3.aspirin, buffered 4. atorvastatin (Lipitor) 5. carvediloL 6. cetirizine 7.vitamin D3 8. vitamin B-12, 9. dapagliflozin propanediol 10. ferro

Allergies

Losartan, neosporin, adhesive, PCN, and Ramipril

Lab data

9-16-25- CBC, CMP, Troponin, A1C, TSh, Urinalysis, B12/folate , Chest xray, and EKG. 9-17-25-Renal function, Magnesium, CBC, POC glucose, Echo limited and ekg repeat. 9-18-25- Renal function , magnesium, and CBC POC glucose