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Report #2865164

Received Oct 12, 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
72 yrs
State
NJ
Recovered
Unknown
Vaccinated
Oct 12, 2025
Onset
Oct 12, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
ADEN_4_7ADENOVIRUS TYPES 4 & 7, LIVE, ORAL (NO BRAND NAME)TEVA PHARMACEUTICALS1—IM / RA
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNA1—IM / LA

Symptoms (1)

Hallucination, visual

Symptom narrative

Had a visual hallucination of seeing a bird in my house; flying around trying to escape; Tried to get him out and when I realized I couldn?t I called my wife to help; then he disappeared; She did not see him

Current illness

Osteoarthritis, BPH, Pancreatic insufficiency

Medical history

Osteoarthritis, BPH, pancreatic insufficiency

Other medications

Creon 36000, tamsulosin 0.4; Vit D3, Vit a; Vit K; pilocarpine 5mg;

Allergies

N/A