Report #2864899

Received Oct 10, 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: 82 yrs
State: CA
Recovered: Unknown
Vaccinated: Oct 9, 2025
Onset: Oct 10, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052581	IM / LA

Symptoms (1)

Pyrexia

Symptom narrative

Fever 102. Treatment of Tylenol 650mg Q 4hrs PRN, cooling measures. Fever reducing with cooling measures. Will monitor x 72 hours

Medical history

Depression, generalized anxiety disorder, disturbances of salivary secretion, hypothyroidism, insomnia, type 2 diabetes, dementia, schizophrenia, GERD, restless legs syndrome, Parkinson's, xerosis cutis, pruritus, atrial fibrillation, essential hypertension, BPH, osteoarthritis, hereditary and idiopathic neuropathy

Other medications

Amiodarone, carvedilol, dilaudid, divalproex, gabapentin, levothyroxine, lorazepam, melatonin, memantine, metformin, olanzapine, olmesartan-hydrochlorothiazide, ropinirole, senna plus, tamsulosin, trazodone

Allergies

Codeine sulfate, hydrocodone bitartate, penicillins