Report #2872804

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: 77 yrs
State: —
Recovered: Unknown
Vaccinated: Oct 13, 2025
Onset: Oct 17, 2025
Days to onset: 4
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052835	IM
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	1	U8859AA	IM

Symptoms (2)

BronchitisCough

Symptom narrative

cough, bronchitis with no improvement in symptoms for 3+weeks

Allergies

none