Report #2878981

Received Dec 21, 2025

Hospitalized

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: 58 yrs
State: NC
Recovered: Unknown
Vaccinated: Oct 28, 2025
Onset: Dec 21, 2025
Days to onset: 54
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUBLOK)	SANOFI PASTEUR	1	U8864CA	IM / LA
PNC21	PNEUMO (CAPVAXIVE)	MERCK & CO. INC.	1	Z010762	IM / LA

Symptoms (2)

Cardiac disorderThrombosis

Symptom narrative

Patient states he has been in and out of hospital since vaccines which caused a blood clot and heart issues. His prescription for any medications from hospital are dated 12/17/25. Vaccines given 10/28/25.

Current illness

None

Medical history

Anxiety, ADHD

Other medications

Adderall, Duloxetine, Alfuzosin

Allergies

None

Lab data

Unknown