Report #2877489

Received Dec 11, 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. Full disclaimer

Overview

Sex: Male
Age: 75 yrs
State: OH
Recovered: Recovered
Vaccinated: Dec 2, 2025
Onset: Dec 2, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	NA4457	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	UNK	UT8794AA	IM / RA
PNC21	PNEUMO (CAPVAXIVE)	MERCK & CO. INC.	1	Z007870	IM / LA
RSV	RSV (AREXVY)	GLAXOSMITHKLINE BIOLOGICALS	1	255T2	IM / LA

Symptoms (5)

AmnesiaBody temperature decreasedConfusional stateCoordination abnormalDizziness

Symptom narrative

Patient reported having low body temperature almost immediately, but that progressed to dizziness, incoordination and memory loss over the next 3 days. Reported that he "was in the kitchen and didn't even know what cupboard his dishes were in".

Current illness

unknown

Medical history

unknown

Other medications

dextroamphetamine, meloxicam, albuterol hfa

Allergies

codeine, morphine, macrolide/ketolides, penicillin

Lab data

none