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Report #2866364

Received Oct 16, 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
75 yrs
State
MN
Recovered
Recovered
Vaccinated
Oct 15, 2025
Onset
Oct 16, 2025
Days to onset
1
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13052671IM / LA

Symptoms (4)

ArthralgiaDepressed level of consciousnessMalaiseVomiting

Symptom narrative

Called patient and discussed reaction to Covid shot. He stated last year that he got both the influenza and covid the same day, and the following day he fainted and passed out the following day of getting the vaccine. This year he stated that he received the flu shot 2 days ago, and had no reaction so came in yesterday to get the Covid vaccine. He stated during the night he didn't feel good, shoulder hurt and this am, he stated he loss consciousness, vomited and feels good now. He stated his wife is a nurse and was there to witness the episode. Discuss any other symptoms concerns and he stated he feels good. Encouraged them to call their primary provider or to come in to be evaluated. They stated they will call their PCP first and then come in to office if needed.

Current illness

None

Medical history

HTN, triple bypass 12 years,

Other medications

ASA, atorvastatin, chlorthalidone, folic acid, prednisone, Caclium

Allergies

Sulfa

Lab data

Patient was going to call PCP for f/u and recommendations.

Prior vaccinations

Covid-2024