Report #2874286

Received Nov 23, 2025

Life-threateningHospitalized

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: 64 yrs
State: NJ
Recovered: Recovered
Vaccinated: Oct 20, 2025
Onset: Oct 23, 2025
Days to onset: 3
Hospital days: 1

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	6	00069-2528-10	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	7+	70461-0655-03	IM / LA

Symptoms (3)

AppendicectomyAppendicitisComputerised tomogram abdomen abnormal

Symptom narrative

Appendectomy due to acute appendicitis

Current illness

None

Medical history

None

Other medications

Multivitamin

Allergies

None

Lab data

Positive CT for appendicitis.