Report #2863507

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: 76 yrs
State: FL
Recovered: Recovered
Vaccinated: Oct 4, 2025
Onset: Oct 4, 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 (2)

ChillsFatigue

Symptom narrative

Chills, Fatigue

Current illness

None

Medical history

Neurology Right acoustic neuroma (HCC) Hand pain Cardiovascular Hyperlipidemia LDL goal <100 Syncope, near Abnormal computed tomography angiography (CTA) Pulmonary Deviated nasal septum Hiatal hernia ENT Asymmetric SNHL (sensorineural hearing loss) Gastrointestinal Diverticulosis Flatulence, eructation and gas pain Oncology High grade prostatic intraepithelial neoplasia Genetics/Metabolics Gouty arthritis of right foot Ophthalmology Cataract Glaucoma Musculoskeletal Calcific tendinitis of right shoulder Closed nondisplaced fracture of base of fifth metacarpal bone of left hand Disorder of tendon Hallux limitus of left foot Other Benign prostatic hyperplasia Prediabetes ED (erectile dysfunction) of organic origin Electrocardiogram abnormal Family history of malignant neoplasm of colon

Other medications

None

Allergies

Sulfa (sulfonamide Antibiotics) Medium Allergy Unknown He had some "reaction" Penicillins Not Specified Allergy Unknown As a child Sulfa Dyne Not Specified Other:see Comments Other: See Comments Tamsulosin