VAERS Explorer
Back to explore

Report #2885345

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
84 yrs
State
MN
Recovered
Recovered
Vaccinated
Mar 8, 2021
Onset
Jan 28, 2026
Days to onset
1787
Hospital days
5

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA2003A21AIM / UN

Symptoms (2)

COVID-19SARS-CoV-2 test positive

Symptom narrative

Hospitalization related to COVID 19 following completion of primary vaccine series

Current illness

o Benign familial tremor (G25.0) o Chronic cough (R05) o CKD (chronic kidney disease), stage III (N18.30) o Depression with anxiety (F41.8) o Emphysema/COPD (J43.9) o Encounter for immunization (Z23) o Gout (M10.9) o Headache (R51.9) o Hyperlipidemia (E78.5) o Hypertension (I10) o Joint pain, hip (M25.559) o Sciatica (M54.30) o Seborrheic keratosis (L82.1) o Spinal stenosis (M48.00)

Medical history

o Benign familial tremor (G25.0) o Chronic cough (R05) o CKD (chronic kidney disease), stage III (N18.30) o Depression with anxiety (F41.8) o Emphysema/COPD (J43.9) o Encounter for immunization (Z23) o Gout (M10.9) o Headache (R51.9) o Hyperlipidemia (E78.5) o Hypertension (I10) o Joint pain, hip (M25.559) o Sciatica (M54.30) o Seborrheic keratosis (L82.1) o Spinal stenosis (M48.00)

Other medications

Acetaminophen 325 MG Oral Tablet4 TIMES DAILY AS NEEDEDAdvair Diskus 250-50 MCG/DOSE Inhalation Aerosol Powder Breath Activated (Fluticasone-Salmeterol)INHALE ONE PUFF BY MOUTH TWICE DAILYAllopurinol 100 MG Oral TabletTAKE 2 TABLET BY MOUTH

Allergies

Simvastatin TABS o Aspirin TABS o Citalopram Hydrobromide TABS o No Known Environmental Allergies o No Known Food Allergies

Lab data

Covid positive test date- 01/31/2026