Report #2885343

Received Feb 12, 2026

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: 86 yrs
State: MN
Recovered: Recovered
Vaccinated: Mar 26, 2021
Onset: Jan 21, 2026
Days to onset: 1762
Hospital days: 3

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	025B21A	IM / LA

Symptoms (2)

COVID-19SARS-CoV-2 test positive

Symptom narrative

Hospitalization related to COVID 19 following completion of primary vaccine series

Current illness

Actinic keratoses (L57.0) o Allergic rhinitis (J30.9) o Eustachian tube dysfunction, right (H69.81) o Gross hematuria (R31.0) o Health care maintenance (Z00.00) o Hearing loss (H91.90) o Hyperlipidemia, unspecified (E78.5) o Hypertension (I10) o Iron deficiency anemia (D50.9) o Leukopenia (D72.819) o Normocytic anemia (D64.9) o Presbyopia of both eyes (H52.4) o Skin lesion of face (L98.9) o Special screening for other malignant neoplasms (Z12.9) o Stage III chronic kidney disease (N18.30)

Medical history

Other medications

amLODIPine Besylate 5 MG Oral TabletTAKE 1 TABLET DAILY.Atorvastatin Calcium 10 MG Oral TabletTAKE 1 TABLET BY MOUTH AT BEDTIMEFlonase Allergy Relief 50 MCG/ACT Nasal Suspension (Fluticasone Propionate)USE 1 SPRAY IN EACH NOSTRIL ONCE DAILY

Allergies

No Known Allergies

Lab data

Covid positive test date 01/21/2026