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Report #2872801

Received Nov 14, 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
90 yrs
State
PR
Recovered
Not recovered
Vaccinated
Sep 29, 2025
Onset
Nov 7, 2025
Days to onset
39
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH1—IM / RA

Symptoms (2)

Herpes zosterPain in extremity

Symptom narrative

Pain in arm, shingles in left leg

Current illness

NONE

Medical history

DIABETES, HYPERTENSION, HYPOTHYROIDISM

Other medications

METFORMIN 500MG, DIOVAN 320/25, PLAVIX, NEURINTIN, GLIPIZIDE, CARDURA 2MG, XINTHROID, SIMVASTATIN, TOPROL, MULTIVITAMINA, D3, CALCIO, ELDELBERRY

Allergies

FISH AND SEAFOOD

Lab data

visual physical examination