Report #2862798

Received Oct 2, 2025

Hospitalized

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: 63 yrs
State: MN
Recovered: Recovered
Vaccinated: Apr 7, 2021
Onset: Sep 30, 2025
Days to onset: 1637
Hospital days: 1

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	032B21A	IM / LA

Symptoms (2)

COVID-19SARS-CoV-2 test positive

Symptom narrative

Hospitalization related to COVID 19 following completion of primary vaccine series

Current illness

Foot pain (M79.673) Fracture of sesamoid bone of foot, closed (S92.819A) Injury of left foot, initial encounter (S99.922A) Right foot pain (M79.671) Tooth pain (K08.89) Underweight (R63.6

Medical history

Foot pain (M79.673) Fracture of sesamoid bone of foot, closed (S92.819A) Injury of left foot, initial encounter (S99.922A) Right foot pain (M79.671) Tooth pain (K08.89) Underweight (R63.6

Other medications

HYDROcodone-Acetaminophen 5-325 MG Oral Tablet;

Allergies

No Known Drug Allergies

Lab data

Covid positive test date 09/24/2025