Report #2863460

Received Oct 6, 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: 86 yrs
State: AZ
Recovered: Unknown
Vaccinated: Oct 3, 2025
Onset: Oct 3, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	UNK	—	—

Symptoms (1)

Unevaluable event

Symptom narrative

None stated.

Current illness

none

Medical history

CML

Other medications

Agrylin Caps 0.5mg daily; Imatinib Mesylate 300mg daily: L-Thyroxine 50mcg daily; Multi vit mineral tablets

Allergies

none