Report #2867130

Received Oct 20, 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: 49 yrs
State: CA
Recovered: Unknown
Vaccinated: Oct 13, 2025
Onset: Oct 13, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	N/A	3052864	IM / RA

Symptoms (2)

DiarrhoeaWeight decreased

Symptom narrative

Systemic: Diarrhea-Medium, Additional Details: Pt states that Diarrhea started at ~2pm on 10/13/25. Foodbourne illness unlikely as pt only had coffee prior to vaccine. Pt stated he's lost about 4lbs. He is hydrating and takig loperamide (but its not helping much). Pt is ambulatory and alert. Good Mental status.

Allergies

NKDA