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Report #2870892

Received Nov 5, 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
Male
Age
78 yrs
State
NJ
Recovered
Recovered
Vaccinated
Oct 22, 2025
Onset
Oct 29, 2025
Days to onset
7
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK—OT / AR
FLU3INFLUENZA (SEASONAL) (FLUAD)SEQIRUS, INC.UNK—SYR / AR

Symptoms (1)

Condition aggravated

Symptom narrative

Higher blood pressure than usual, Lisinopril not effective as it usually was. Discussed with doctor and scheduled office visit to review. No limitations on routine activities.

Current illness

None

Other medications

Simvastatin 10mg daily , Lisinopril 5mg as needed

Allergies

Penicillin, codeine, tree pollen

Lab data

None to date