Report #2866803

Received Oct 18, 2025

ER / ED visit

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: 67 yrs
State: OH
Recovered: Unknown
Vaccinated: Sep 26, 2025
Onset: Oct 10, 2025
Days to onset: 14
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	1	3052133	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUAD)	SEQIRUS, INC.	1	409166	IM / RA

Symptoms (1)

Pulmonary embolism

Symptom narrative

PATIENTS WIFE REPORTED THAT ON 10/10/2025 THE PATIENT WAS ADMITTED TO THE ER WITH PULMONARY EMBOLISMS IN BOTH LUNGS

Other medications

METOPOROL, ELIQUIS, FUROSEMIDE, TRULICITY, ENTRESTO, DIGOXIN, GLIPIZIDE, SERTRALINE, RANOLAZINE

Allergies

KNDA