Report #2870449

Received Nov 4, 2025

Hospitalized

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: 85 yrs
State: —
Recovered: Unknown
Vaccinated: —
Onset: Oct 24, 2025
Days to onset: —
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	UNK	—	—

Symptoms (1)

Unevaluable event

Symptom narrative

Describe Event, Problem, or Product Use Error: Patient was hospitalized due to a reaction of the COVID booster shot.

Medical history

Myelodysplastic syndrome, unspecifi (D46.9)

Other medications

Ojjaara 200 mg