Report #2867761

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: 69 yrs
State: WI
Recovered: Unknown
Vaccinated: Oct 8, 2025
Onset: Oct 8, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	UNK	3052133218DKX50	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	UNK	U8837AA2113124M	IM / LA

Symptoms (5)

DizzinessHeadacheNauseaPain in extremityPyrexia

Symptom narrative

Headache, Nausea, dizziness, feverish within 10 minutes and sore arm for 2 days