Report #2867522

Received Oct 21, 2025

Office 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: 49 yrs
State: WI
Recovered: Not recovered
Vaccinated: Oct 1, 2025
Onset: Oct 2, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
PNC21	PNEUMO (CAPVAXIVE)	MERCK & CO. INC.	1	Z005765	IM / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	4YA34	IM / LA

Symptoms (5)

BronchospasmImmediate post-injection reactionMalaiseRespiratory symptomRespiratory tract congestion

Symptom narrative

Immediate onset of URI symptoms post injection including chest congestion, ST and malaise. Treated for bronchospasm when symptoms persisted >2 weeks.

Current illness

none

Medical history

GERD, depression/anxiety, OSA, IBS, Hyperli

Other medications

Amlodipine, Lexapro, Levothyroxine, Multivitamin, Pravastatin, Spironolactone

Allergies

Citalopram, Effexor, Fluoxetine

Lab data

none