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Report #2874496

Received Nov 24, 2025

Hospitalized
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
81 yrs
State
WI
Recovered
Not recovered
Vaccinated
Nov 3, 2025
Onset
Nov 3, 2025
Days to onset
0
Hospital days
2

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLUA4INFLUENZA (SEASONAL) (FLUAD QUADRIVALENT)SEQIRUS, INC.N/A407264SYR / RA

Symptoms (6)

Cardiac failure congestiveCondition aggravatedDialysisFallMalaiseMuscular weakness

Symptom narrative

Systemic: Weakness-Severe, Additional Details: Patient with CHF received influenza and COVID-19 vaccines. On that same day, complained of weakness in the extremities and falling over. Wife states on 11/15/2025 that this is an exacerbation of his CHF. Wife also states that patient went to dialysis day after and received his pneumonia vaccine there. Wife states the hospital discharged him prematurely on 11/14 and that patient is still not fully well, and they plan to go back to the hospital, Other Vaccines: VaccineTypeBrand: COVID-19 mNEXSPIKE; Manufacturer: Moderna; LotNumber: 3052996; Route: IM; BodySite: Right Arm; Dose: ; VaxDate: UNKNOWN