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Report #2870540

Received Nov 4, 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
Female
Age
85 yrs
State
DE
Recovered
Unknown
Vaccinated
—
Onset
Oct 24, 2025
Days to onset
—
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
PNC21PNEUMO (CAPVAXIVE)MERCK & CO. INC.UNKZ009681RA

Symptoms (1)

Extra dose administered

Symptom narrative

Patient was not due for a pneumonia vaccine. She received one 08/31/2023.

Medical history

Mild carotid artery disease [I77.9] Atrial fibrillation/flutter/Secondary Thrombophilia [I48.91 0.3, D68.69] Pulmonary hypertension [I27.20 0.4] Prediabetes [R73.03] Mitral and Tricuspid regurgitation [I34.0, I07.1] Insomnia [G47.00] Osteoporosis/Vit D def [E55.9, M85.80 Overweight [E66.3] Varicose veins [I86.8] History of genital warts [Z86.19] Herpes labialis [B00.1] Mild Cognitive Impairment [G31.84] Seasonal Allergies OSA (obstructive sleep apnea) [G47.33] Rosacea [L71.9] Tubular adenoma of colon [D12.6] Squamous cell skin cancer/BCC [C44.92, C44.91] Actinic keratitis [H16.139] Low vitamin B12 level [E53.8] Osteoarthritis of left thumb [M18.12] De Quervain's tenosynovitis [M65.4] Hair loss [L65.9] Tinnitus [H93.19] Vision problem [H54.7] Osteoarthritis of carpometacarpal (CMC) joint of both thumbs and triscaphe [M18.0] Fall/Coccyx pain [Z91.81, M53.3] Leg weakness [R29.898] Actinic keratitis [H16.139] Hyperlipidemia [E78.5]

Other medications

Atorvastatin Calcium 20 mg Tab take 1 tab PO QD 208/2022 CPAP at night 310/2021 Digoxin 125 MCG Tab 1/2 tablet orally daily 402/2019 Eliquis 2.5 mg Tab 1 po BID 511/2024 Prolia 60 mg/ML Solution Prefilled Syringe Subcutaneous 1 ml SQ ev

Allergies

Sulfa Antibiotics = as a child. She doesn't remember the rxn. Possibly GI upset; "Critical" by old recs Valium = "my blood ran cold"