Report #2868204

Received Oct 24, 2025

Died

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: 93 yrs
State: GA
Recovered: Not recovered
Vaccinated: Oct 28, 2024
Onset: Feb 3, 2025
Days to onset: 98
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	5	LP1780	IM

Symptoms (1)

Desmoid tumour

Symptom narrative

sudden onset growth on chest wall

Medical history

CKD, Alzheimer's, vascular dementia, atherosclerosis of native arteries of extremities, iron deficiency anemia, major depressive disorder, other specified anemias, legal blindness, BPH, essential hypertension, glaucoma, edema

Other medications

Amlodipine Besylate 5 mg, Cyanocobalamin 1000mcg, Donepezil HCI10 mg, Hydrazaline HCI, Latanoprost Solution 0.005%, Mirtazapine 15 mg, Pantoprazole Sod Sr 40 mg, Sodium Bicarbonate oral tablet 650 mg, Sucralfate 1 gm, Tramadol HCL 50 mg [rm

Allergies

nka

Lab data

dx as desmoid tumor of chest wall