Report #2877903

Received Dec 15, 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: 71 yrs
State: MI
Recovered: Unknown
Vaccinated: Nov 10, 2025
Onset: Dec 5, 2025
Days to onset: 25
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	UNK	—	—
UNK	VACCINE NOT SPECIFIED (OTHER)	UNKNOWN MANUFACTURER	UNK	—	—

Symptoms (1)

Unevaluable event

Symptom narrative

None stated.

Medical history

Primary immunodeficiency