Report #2864676

Received Oct 9, 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: 74 yrs
State: MN
Recovered: Recovered
Vaccinated: Oct 1, 2025
Onset: Oct 4, 2025
Days to onset: 3
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	—	SYR / LA

Symptoms (2)

Chest painHypopnoea

Symptom narrative

Severe chest pain with shallow breathing starting at 1:00PM on Oct 04, lasting until appox. 8:00PM that evening

Current illness

None

Medical history

Obstructive Pulmonary Disease

Other medications

Levothyroxine 275mcg, Rosuvastatin 40mg, metoprolol succinate (XL) 25 mg, bumetanide 1mg, loratadine 10 mg, Iron 65mg, Vitamin D

Allergies

None

Lab data

None