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Report #2875475

Received Nov 28, 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
67 yrs
State
OR
Recovered
Unknown
Vaccinated
Apr 6, 2021
Onset
May 1, 2021
Days to onset
25
Hospital days
4

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH2ewo151IM / AR

Symptoms (1)

Asthenia

Symptom narrative

I lost all my stamina in 28 days.

Current illness

Patient Active Problem List Diagnosis ? Autoimmune hepatitis ? COPD (chronic obstructive pulmonary disease) ? Cutaneous B-cell lymphoma ? Depression ? Diabetic polyneuropathy ? GERD (gastroesophageal reflux disease) ? H/O Graves' disease ? H/O radioactive iodine thyroid ablation ? History of lumbosacral spine surgery ? Essential hypertension ? Hypothyroidism, postablative ? Chronic left-sided low back pain with left-sided sciatica ? Polymyalgia rheumatica ? Fibromyalgia ? Controlled type 2 diabetes mellitus with neuropathy ? History of CVA (cerebrovascular accident) ? History of colon polyps ? Atrial septal defect ? Chronic anticoagulation ? Anticoagulation management encounter ? Pruritus ? Retinopathy due to secondary diabetes (H

Medical history

Patient Active Problem List Diagnosis ? Autoimmune hepatitis ? COPD (chronic obstructive pulmonary disease) ? Cutaneous B-cell lymphoma ? Depression ? Diabetic polyneuropathy ? GERD (gastroesophageal reflux disease) ? H/O Graves' disease ? H/O radioactive iodine thyroid ablation ? History of lumbosacral spine surgery ? Essential hypertension ? Hypothyroidism, postablative ? Chronic left-sided low back pain with left-sided sciatica ? Polymyalgia rheumatica ? Fibromyalgia ? Controlled type 2 diabetes mellitus with neuropathy ? History of CVA (cerebrovascular accident) ? History of colon polyps ? Atrial septal defect ? Chronic anticoagulation ? Anticoagulation management encounter ? Pruritus ? Retinopathy due to secondary diabetes (H

Other medications

FLUOXETINE 10 MG CAPSULE take 1 capsule by mouth once daily GABAPENTIN 600 MG TABLET TAKE 1 TABLET BY MOUTH AT BEDTIME LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN Inject 25 Units under the skin (SUBC) once daily at bed

Allergies

Lisinopril Sulfa (Sulfonamide Antibiotics) Eliquis (Apixaban) Nsaids (Non-Steroidal Anti-Inflammatory Drug) Pradaxa (Dabigatran Etexilate) Tramadol Xarelto (Rivaroxaban) Ibuprofen