Report #2866650

Received Oct 17, 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: 73 yrs
State: KS
Recovered: Unknown
Vaccinated: Oct 16, 2025
Onset: Oct 17, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	—	SYR / LA

Symptoms (1)

Unevaluable event

Symptom narrative

Resting pulse 102 vs normal around 65.

Current illness

I had a serious head cold or something. Mild fever, coughing, congestion and sneezing 3 weeks ago.

Medical history

None

Other medications

(2XS Daily)15 MG Zinc, (3Xs daily)500 Mg Vitamin C,1000mg Biotin, 1000 IU Vitamin D, 2400 mcg Vitamin A,, 400mg Magnesium and B-Complex with Vitamin C.

Allergies

Penicillin

Lab data

Did not go to Doctor. Took Ibuprofen. $ pills.