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Report #2900635

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
79 yrs
State
MI
Recovered
Not recovered
Vaccinated
Jun 12, 2026
Onset
Jun 14, 2026
Days to onset
2
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA53054592IM / LA

Symptoms (3)

Injection site erythemaInjection site inflammationInjection site warmth

Symptom narrative

Red, hot inflamed arm at injection site.

Medical history

G20.B2 Parkinson's disease with dyskinesia, with fluctuations(Primary, Admission), F02.B3 Dementia in other diseases classified elsewhere, moderate, with mood disturbance, K59.01 Slow transit constipation, M16.0 Bilateral primary osteoarthritis of hip, H40.1122 Primary open-angle glaucoma, left eye, moderate stage, M54.16 Radiculopathy, lumbar region, N39.46 Mixed incontinence, H04.123 Dry eye syndrome of bilateral lacrimal glands, R63.4 Abnormal weight loss, L21.9 Seborrheic dermatitis, unspecified, H61.23 Impacted cerumen, bilateral, N40.1 Benign prostatic hyperplasia with lower urinary tract symptoms, Z23 Encounter for immunization, B37.2 Candidiasis of skin and nail, G47.33 Obstructive sleep apnea (adult) (pediatric)(History of), I73.00 Raynaud's syndrome without gangrene, L60.3 Nail dystrophy, B35.6 Tinea cruris, H40.1134 Primary open-angle glaucoma, bilateral, indeterminate stage

Other medications

Tylenol ES 2 tabs daily; Carbidopa-Levodopa 50-200mg QID, Colace 100mg daily, Cosopt 22.3-6.8mg/ml 1 gtt left eye bid; Duloxetine 30mg daily; Miralax 17 gm daily; Senna 8.6mg daily; tamsulosin 0.4mg daily,

Allergies

Doxycycline hyclate; Entacapone; Vesicare; Latex