Report #2867644

Received Oct 22, 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: 81 yrs
State: CA
Recovered: Recovered
Vaccinated: Oct 20, 2025
Onset: Oct 21, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

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

Symptoms (4)

Decreased appetiteHeadacheMobility decreasedMuscle spasms

Symptom narrative

Had muscle cramps which reduced my mobility making me bed ridden. Didn't recover for another day. Also had a mild headache and lost appetite. Also the pharmacy providing the shot did not ask me to wait the required 15 minutes to see if I was OK.

Current illness

None

Medical history

None

Other medications

K2+D3; OTC Senior Multi Health

Allergies

None

Lab data

None

Prior vaccinations

Covid 19 Moderna Sept 2024; same results