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Report #2824489

Received Feb 4, 2025

Office visit
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
90 yrs
State
AR
Recovered
Unknown
Vaccinated
Jan 21, 2023
Onset
Jan 19, 2025
Days to onset
729
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA4022H22AIM / LA

Symptoms (1)

COVID-19

Symptom narrative

COVID INFECTION WITH HOSPITALIZATION AFTER VACCINATION