Report #2862770

Received Oct 2, 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: IL
Recovered: Recovered
Vaccinated: Sep 29, 2025
Onset: Sep 29, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052741	IM / RA

Symptoms (5)

Confusional stateDelusionHallucinationNightmarePruritus

Symptom narrative

Confusion. Nightmares. Hallucinations/Delusions. Intense itching lower body.

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

None