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Report #2898425

Received May 30, 2026

Reports are unverified and do not show that a vaccine caused an event. Full disclaimer

Overview

Sex
Male
Age
73 yrs
State
AZ
Recovered
Unknown
Vaccinated
Jun 3, 2021
Onset
Jun 3, 2021
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
UNKVACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURERUNK——

Symptoms (1)

Unevaluable event

Symptom narrative

None stated.

Current illness

None

Medical history

COPD

Other medications

None

Allergies

None