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Report #2879520

Received Dec 24, 2025

DiedHospitalized
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
93 yrs
State
NY
Recovered
Not recovered
Vaccinated
Oct 29, 2025
Onset
Oct 1, 2025
Days to onset
—
Hospital days
5

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNA1——

Symptoms (13)

AstheniaChest X-rayDeathDysphagiaDyspnoeaGait disturbanceHead discomfortHypersomniaImaging procedureIncontinenceLaboratory testTremorUrine analysis

Symptom narrative

He received both covid and flu shot the same day regardless that he should not have signed a consent due to confusion that the facility was aware of. He started out " his head felt funny, then short of breath weak, sleeping over 20 hours difficulty walking. days before you could not get him to slow down, shaking then incontinence then difficulty swallowing his last few days then death. Until he got these 2 shots he was walking with a walker and intended to come home. We have our own medical care and he was brought immediatle to Dr's office when he was not well. I had no idea he got these shots I would never agreed to 2 shots in one day and definetly not the covid shpt. He consented to something despite facility knowing he was confused . Other family members have voiced a concern as well that there loved ones they did not have any idea they got it either. I honestly do not know what covid and flu shot he recieved but I had to select something. Facility at the [withheld city, state] would know

Medical history

CHF DM2 general weakness , some confusion unable to understand all of his medications

Other medications

none

Allergies

lipitor

Lab data

Chets xrays labs, UA either cat scans or mriss