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Report #2864960

Received Oct 10, 2025

Hospitalized
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
81 yrs
State
NC
Recovered
Recovered
Vaccinated
Sep 15, 2025
Onset
Sep 16, 2025
Days to onset
1
Hospital days
1

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH5—IM / LA
PNC21PNEUMO (CAPVAXIVE)MERCK & CO. INC.3—IM / RA

Symptoms (46)

Ammonia normalAspartate aminotransferase increasedBlood creatine phosphokinase MB increasedBlood creatine phosphokinase increasedBlood creatinine increasedBlood culture negativeBlood ethanol normalBlood glucose normalBlood lactic acid normalBlood magnesium normalBlood sodium decreasedBlood thyroid stimulating hormone increasedChest X-ray normalComputerised tomogram head normalComputerised tomogram neck normalConfusional stateDrug screen negativeElectrocardiogram normalFull blood countGait inabilityGlycosylated haemoglobin normalHaematocrit normalHaemoglobin normalInternational normalised ratio normalLymphocyte count normalMagnetic resonance imaging head normalMean cell haemoglobin concentration normalMean cell haemoglobin normalMean cell volume normalMean platelet volume increasedMetabolic function testN-terminal prohormone brain natriuretic peptide increasedNeutrophil count normalPlatelet count decreasedProcalcitonin increasedProtein urine presentProthrombin time prolongedPyrexiaRed blood cell count normalRed cell distribution width increasedRespiratory pathogen panelTroponin T increasedUrinary occult blood positiveUrine ketone body presentWhite blood cell count normalWhite blood cells urine negative

Symptom narrative

Fever, marked confusion, inability to walk Hydration in hospital; released in stable condition after one overnight in the hospital

Current illness

CLL

Medical history

CLL

Other medications

Dexilant 60 mg; Tamsulosin 0.4 mg; AREDS 2

Allergies

Amoxicillin; Vancomycin

Lab data

September 16, 2025:MRI OF HEAD-No acute findings; CT of Head and Neck - no acute findings; Respiratory Panel - nothing detected; TnT-Gen5-23; Delta -8; Lactic Acid 0.9; P±T 15; IN±R INR 1.1; Glucose 117; Blood Culture - no growth; Procalcitonin .16; CK 583; CKMB 2.52; AMMONIA 14; NT-ProBNP 843; Urinalysis - normal ecept small blood, protein 30; ketones 15; WBC's 3-5; Ethanol <10; Magnesium 2; Chest -ray - no acute process; CBC wbc 8.6; RBC 5.1; HGB 14.7; HCT 44.8; MCV 87.8; MCH 28.8; MCHC 32.8; PLT 124; RDW 41.1; MPV 10.5; ABSOLUTE NEUTROPHIL COUNT 6.24; ABSOLUTE LYMPHOCYTE COUNT 1.77; CMP -normal except na-134; glucose 138; creatinine 1.32, AST 58; TSH .74; HEMOGLOBIN A1C 5.5; ECG - NORMAL

Prior vaccinations

MODERNA COVID-19; Weakness and ataxia; age 80; 09/15/2024