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Report #2864155

Received Oct 7, 2025

ER / ED visit
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
WA
Recovered
Unknown
Vaccinated
Oct 7, 2025
Onset
Oct 7, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK3052734IM / LA
FLU3INFLUENZA (SEASONAL) (FLUAD)SEQIRUS, INC.1407257IM / LA

Symptoms (1)

Asthenia

Symptom narrative

At around 2:45pm, staff came to me and asked what vaccine residents received, after looking at the VAR I said flu and COVID vaccine then I handed her the VAR and I asked why she is asking, she stated that the resident was being seen by the EMT because the caregiver called them when the noticed that resident was walking using his walker and suddenly become weak. I went to the unit right away and when I get to the unit, I noticed the resident was seating in wheelchair and being assess by 4 EMT. I asked the caregivers if they were able to take vital signs before EMT arrived and they stated "yes" and it was BP 114/59, Pulse 72 and O2 sats 99% in room air. Resident was taken to the ER.