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Report #2862193

Received Sep 29, 2025

Life-threateningHospitalizedER / 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
84 yrs
State
AZ
Recovered
Not recovered
Vaccinated
Sep 24, 2025
Onset
Sep 24, 2025
Days to onset
0
Hospital days
1

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1—IM / LA

Symptoms (8)

ArthralgiaBlood testDeep vein thrombosisElectrocardiogramPain in extremityPeripheral swellingUltrasound Doppler abnormalX-ray

Symptom narrative

Within 10 minutes of being given vaccine, patient expressed having pain in his left knee. For the next 3 days, he had pain and swelling in left thigh. I took him to urgent care at that point, they sent him to ER for an ultrasound which showed a DVT. He was put on heparin, and flown (by helicopter) to a vascular surgeon for immediate care.

Current illness

none

Medical history

none, but has a pacemaker

Other medications

Mirabegron ER 50 mg, B12, Pravastatin Sodium 40 mg, Enalapril Maleate 20 mg, Metoprolol ER 25 mg

Allergies

none

Lab data

Xrays, blood work, EKG, and ultrasound