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Report #2883595

Received Feb 1, 2026

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
70 yrs
State
IL
Recovered
Recovered
Vaccinated
Jan 30, 2026
Onset
Jan 31, 2026
Days to onset
1
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNA63053756IM / RA

Symptoms (8)

ArthralgiaChillsChromaturiaDehydrationFatigueMyalgiaPyrexiaRetching

Symptom narrative

fever, chills, joint pain, muscular pain, drive heaves, dehydration, fatigue, discolored urine - deep yellow

Medical history

hypertension

Other medications

Flomax, Losartan - HCTV

Allergies

none

Lab data

none

Prior vaccinations

All Moderna - 03 17 2021, 04 14, 2021, 02 21 2022, 10 09 2023, 10 28 2024 - All the same list of side effects as the current bo