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Report #2900322

Received Jun 16, 2026

Life-threateningHospitalized

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

Overview

Sex
Male
Age
88 yrs
State
WI
Recovered
Not recovered
Vaccinated
Jun 15, 2026
Onset
Jun 15, 2026
Days to onset
0
Hospital days
1

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNA13055152IM / RA
RSVRSV (MRESVIA)MODERNA13051132IM / LA

Symptoms (4)

DizzinessHaemoglobin decreasedRectal haemorrhageTransfusion

Symptom narrative

Normal BM at 1000, vaccine administer at 1030 (mNEXSPIKE and mRESVIA), dizzy/lightheaded at approximately 1230, significant blood loss/clots with BM at 1230, transferred to hospital (name and location withheld), received transfusion, ICD-10-CM: K62.5 BRBPR(bright red blood per rectum)

Current illness

no acute illness - vital stable at time of vaccine

Medical history

non-ischemic myocardial injury(non-traumatic), emphysema, other forms of dyspnea, chronic diastolic(congestive) heart failure, paroxysmal atrial fibrillation, asthma, type 2 DM w/o complications, obesity class 3, OSA, chronic pain, low back pain, amnesia, major depressive disorder, recurrent, essential hypertension, hyperlipidemia, deficiency of other specified B group vitamins, BPH with lower urinary tract symptoms, frequency of micturition, personal history of nicotine dependence

Other medications

albuterol, aspirin, B12 oral, calcium+D, carvedilol, empagliflozin, finasteride, fluticasone, furosemide, ipratropium-albuterol, losartan potassium, metformin, nystatin, rosuvastatin calcium, trazadone,

Allergies

environmental - severity unknown

Lab data

Hgb - 7.4