Report #2864627

Received Oct 9, 2025

Life-threateningHospitalizedER / ED visitOffice 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: 87 yrs
State: WI
Recovered: Recovered
Vaccinated: Sep 20, 2025
Onset: Sep 21, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	NA0738	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	UNK	UT8781AA	IM / LA

Symptoms (2)

DyspnoeaFatigue

Symptom narrative

Patient experienced extreme fatigue and shortness of breath about 24 hours after vaccinations, which prompted a trip to the emergency room and subsequent hospitalization. Patient appears to have experienced an acute exacerbation of CHF (my words, not the patient's or the patient's cardiologist's words) based on symptoms reported and follow-up medication changes. Symptom management is still ongoing as of this report, though the patient is being managed outpatient now.

Current illness

unknown

Medical history

COPD, CHF, unknown if others

Other medications

Albuterol 2.5mg / 3 ml Neb solution, Bupropion XL 150 mg tablet, levetiracetam 250 mg tablet, metoprolol er 25 mg tab, omeprazole 20 mg capsule, rosuvastatin 40 mg tablet, trelegy Ellipta 100-62.5-25, Warfarin 2 mg tablet

Allergies

No known

Lab data

See above, please contact the patient and/or their hospital for more details as I do not have them.