Report #2871916

Received Nov 10, 2025

Life-threateningHospitalizedER / ED visitOffice visitDisabled

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: 65 yrs
State: CA
Recovered: Not recovered
Vaccinated: Nov 1, 2021
Onset: Nov 1, 2021
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	—	—

Symptoms (4)

COVID-19Chronic kidney diseaseCoagulopathyVena cava filter insertion

Symptom narrative

Blood clotting Blood Disorder/ Cronic Kidney Failure Cronic Kidney Damage . Heart Filter Installation to Block Blood clot entry14 Hospital stays To clear out clots and for COVID New variant and old COVID 19 Illnes