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Report #2900631

Received Jun 18, 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
93 yrs
State
MI
Recovered
Recovered
Vaccinated
Jun 2, 2026
Onset
Jun 3, 2026
Days to onset
1
Hospital days

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA63053479IM / LA

Symptoms (4)

AstheniaErythemaInflammationParaesthesia

Symptom narrative

Weakness , red inflamed arm, hands felt prickly

Current illness

n/a

Medical history

I25.10 Atherosclerotic heart disease of native coronary artery without angina pectoris(Primary, Admission), D45 Polycythemia vera, D51.9 Vitamin B12 deficiency anemia, unspecified, F41.9 Anxiety disorder, unspecified, E78.49 Other hyperlipidemia, I48.0 Paroxysmal atrial fibrillation, N40.1 Benign prostatic hyperplasia with lower urinary tract symptoms-mixed urinary incontinence, C44.622 Squamous cell carcinoma of skin of right upper limb, including shoulder, G89.29 Other chronic pain, K21.9 Gastro-esophageal reflux disease without esophagitis, R53.1 Weakness, B37.2 Candidiasis of skin and nail(History of), J30.89 Other allergic rhinitis-d/t fungal spores, H90.3 Sensorineural hearing loss, bilateral, H93.8X2 Other specified disorders of left ear-chronic lesion, G30.1 Alzheimer's disease with late onset, E61.7 Deficiency of multiple nutrient elements, F33.0 Major depressive disorder, recurrent, mild, F02.A4 Dementia in other diseases classified elsewhere, mild, with anxiety, M15.0 Primary generalized (osteo)arthritis-multiple joints, N62 Hypertrophy of breast-drug induced, H61.23 Impacted cerumen, bilateral-Provider visit, I11.0 Hypertensive heart disease with heart failure, R06.02 Shortness of breath-on exertion, E55.9 Vitamin D deficiency, unspecified, D72.829 Elevated white blood cell count, unspecified, I95.0 Idiopathic hypotension, I50.89 Other heart failure

Other medications

ASA 81mg daily; atorvastatin 20mg at HS; Celexa 40mg daily; Vitamin D3 1250mcg on 11th of the month; Vitamin B-12 1000mcg weekly; Diltiazem 120mg daily; gemfibrozil 600mg bid; Hydroxyurea 500mg daily; Protonix 20mg daily; Tamsulosin 0.4mg d

Allergies

lasix; PCN; bee sting