Adverse Event Reporting

VAERS ID 2584365
Gender Male
Age 72
Pharmaceutical Company PFIZER\BIONTECH
Lot Number GJ3270
Number of vaccinations
Vaccinated 2023-02-20
Onset 2023-02-20
Condition Recovered

Current Illness

None reported

Preexisting Conditions

Hypertension, hypercholesteremia, hyperparathyroidism

Other Medications

pravastatin (PRAVACHOL) 40 MG tablet lisinopril-hydroCHLOROthiazide (ZESTORETIC) 10-12.5 MG per tablet

Previous Vaccinations


No known allergies

Laboratory Data


The patient did not experience any adverse reactions; however, an additional dose of the Pfizer Bivalent Booster was given as he did not report that he received a Bivalent Booster on 10/3/2022 until a couple hours post vaccination.