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Report #2876148
Received Dec 3, 2025
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.
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Overview
Sex
Male
Age
83 yrs
State
—
Recovered
Unknown
Vaccinated
Nov 20, 2025
Onset
Nov 1, 2025
Days to onset
—
Hospital days
—
Vaccines (1)
Type
Name
Manufacturer
Dose
Lot
Route / Site
UNK
VACCINE NOT SPECIFIED (NO BRAND NAME)
UNKNOWN MANUFACTURER
UNK
—
—
Symptoms (1)
Unevaluable event
Symptom narrative
None stated.