Report #2875710

Received Dec 1, 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: 74 yrs
State: FL
Recovered: Not recovered
Vaccinated: Sep 28, 2021
Onset: Sep 28, 2021
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	—	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	UNK	—	IM / LA

Symptoms (5)

Blood glucose increasedChronic obstructive pulmonary diseaseCondition aggravatedRenal failureRhinorrhoea

Symptom narrative

Patient states he has had worsening health conditions since first covid vaccination in 2020 (this particular date unavailable) such as consistently runny nose, worsening COPD and kidney failure, and high blood sugar. He state these issues are ongoing.