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Report #2877726

Received Dec 12, 2025

Life-threateningHospitalizedER / ED 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
89 yrs
State
MA
Recovered
Recovered
Vaccinated
Dec 6, 2025
Onset
Dec 7, 2025
Days to onset
1
Hospital days
4

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNAUNK—SC / LA

Symptoms (6)

AphasiaAstheniaHypotensionPyrexiaUnresponsive to stimuliVomiting

Symptom narrative

Sudden onset of vomiting, 102 degree fever, weakness, inability to speak or respond., severe hypotension. Taken to emergency room and admitted to [withheld name of hospital].

Current illness

None

Medical history

On home bemodialysis.

Other medications

Eliquis, Pravastatin, Pramipexole, Tamaulipas, Ginasyeride, Glipizide, Incruse Ellipta

Allergies

Chlorhexadine topical, Thorazine, Reglan, baclofen