Report #2864967

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: 77 yrs
State: WI
Recovered: Unknown
Vaccinated: Oct 7, 2025
Onset: Oct 7, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	N/A	3052669	IM / RA
RSV	RSV (ABRYSVO)	PFIZER\WYETH	1	ln5464	IM / RA

Symptoms (4)

Blood glucose increasedCondition aggravatedDeliriumDiabetes mellitus

Symptom narrative

Pt reports that evening experiencing high blood sugar (self measured) and then delirious over the course of 1-2 days that made his family concerned and he did not want to leave bed until 10/9 afternoon

Medical history

Diabetic, HBP

Other medications

Clonazepam, Losartan, Metformin, Ozempic, Sildenafil, Omeprazole, Famotidine, Tamsulosin

Allergies

PCN, Sulfa

Lab data

None