Report #2895769

Received May 7, 2026

Office visit

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: 81 yrs
State: AS
Recovered: Recovered
Vaccinated: May 5, 2026
Onset: May 6, 2026
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	2	3053824	IM / LA

Symptoms (7)

Chest X-ray abnormalCondition aggravatedLaboratory test normalPyrexiaSARS-CoV-2 test negativeTremorUrine analysis

Symptom narrative

WIFE NOTED INCREASED TREMORS ON 5/6/26 AND TEMPERATURES OF 99.9° f @ 1351; 103.7° f @ 1347. CRNP ASSESSED AND ORDERED: RAPID COVID-19 TEST, QUAD PANEL, CXR, UA C&S; LUNG SOUNDS AND VITAL SIGNS CHECK Q SHIFT X 2 DAYS. PRN TEYLENOL ADMINISTERED FOR FEVER ON 5/6/26 @ 1547 EFFECTIVE WITH F/U TEMP 99.0° F. VITAL SIGNS WNL 5/7/26 @ 0742: BP 128/66; T 97.7° F; P 65; R 18; POX 95% RA. RESIDENT IS BACK TO BASELINE TODAY PER MEDICATION NURSE.

Current illness

NONE.

Medical history

ALZHEIMER'S; DEMENTIA W/O BEHAVIOR, PSYCH, MOOD, ANXIETY; PARKINSON'S; HTN; CAD; RESTLESS LEG SX; BPH; CHRONIC PAIN; MDD-R; ESSENTIAL TREMOR; CKD3; CONSTIPATION; HYPERLIPIDEMIA; NOCTUIRA; VIT B DEFFICIENCY; SQUAMOUS CELL CARCINOMA - SKIN (R) UE & SHOULDER; CATARACT - (L) EYE; REDUCED MOBILITY; MUSCLE WEAKNESS.

Other medications

AMLODIPINE; ASA; ATORVASTATIN; COLACE; FUROSEMIDE; GABAPENTIN; MELATONIN; TAMSULOSIN; VITAMIN D3; AYR SALINE GEL.

Allergies

BACLOFEN; BACTRIM; NSAIDs; SULFA ABX; LATEX.

Lab data

RAPID TEST & QUAD PANEL NEGATIVE; CXR SHOWED POSSIBLE SLIGHT REOCCURRING (R) PNEUMONITIS. UA C&S RESULTS PENDING.