Report #2877645

Received Dec 12, 2025

Life-threateningHospitalizedER / ED visitOffice 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: 61 yrs
State: TN
Recovered: Recovered
Vaccinated: Apr 8, 2021
Onset: Dec 13, 2022
Days to onset: 614
Hospital days: 2

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	1	201A21A	IM

Symptoms (1)

Transient ischaemic attack

Symptom narrative

TIA, admitted to Emergency Room, 2 day stay then released

Current illness

None

Medical history

None

Other medications

Multi-vitamin, Ocuvite Adult 50+, Nature's Bounty Red Krill Oil, Hemp Oil, Super Beta Prostate Advanced Gummies, Cholecalciferol

Allergies

None

Lab data

MRN: [withheld], FIN: [withheld], Admitting Doctor: [name withheld]