Report #2891726

Received Apr 4, 2026

Life-threateningHospitalizedER / ED visitOffice visitDisabled

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: 80 yrs
State: CA
Recovered: Recovered
Vaccinated: Oct 10, 2022
Onset: Nov 3, 2022
Days to onset: 24
Hospital days: 25

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	UNK	—	—

Symptoms (2)

Impaired work abilityParalysis

Symptom narrative

hospitalizations, SNFs, paralysis, loss of work

Current illness

5-way bypass in August 2022

Medical history

5-way bypass in August 2022

Other medications

Nothing

Allergies

none