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Report #2828464

Received Feb 26, 2025

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
91 yrs
State
—
Recovered
Unknown
Vaccinated
Sep 1, 2024
Onset
Feb 17, 2025
Days to onset
169
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK—IM
FLUXINFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERUNK——

Symptoms (1)

COVID-19

Symptom narrative

has tested positive for Covid/he caught a COVID-19 infection; This spontaneous case was reported by a patient and describes the occurrence of COVID-19 (has tested posted for Covid/he caught a COVID-19 infection) in a 91-year-old male patient who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) for COVID-19 prophylaxis. Co-suspect product included non-company product Influenza vaccine for an unknown indication. Previously administered products included for COVID-19 prophylaxis: Moderna COVID-19 Vaccine (lot- 038K20A) on 08-Feb-2021, Moderna COVID-19 Vaccine (lot- 010A21A) on 08-Mar-2021 and Moderna COVID-19 Vaccine (lot- 076C21A) on 27-Oct-2021. Past adverse reactions to the above products included No adverse effect with Moderna COVID-19 Vaccine, Moderna COVID-19 Vaccine and Moderna COVID-19 Vaccine. Concurrent medical conditions included Blood pressure. In September 2024, the patient received dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Intramuscular use) 1 dosage form and dose of Influenza vaccine (unknown route) 1 dosage form. On 17-Feb-2025, the patient experienced COVID-19 (has tested posted for Covid/he caught a COVID-19 infection). At the time of the report, COVID-19 (has tested posted for Covid/he caught a COVID-19 infection) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 17-Feb-2025, SARS-CoV-2 test: Positive. The customer was prescribed several pills for blood pressure. The patient was not able to confirm in which arm the Moderna COVID-19 vaccine was administered but he confirmed that he had the Moderna COVID-19 vaccine shot in one arm and the Flu vaccine shot in the other arm on the same date of vaccination. As of reporting, patient was not sure if the patient was still positive for Covid. The patient did not experience any additional symptoms/events. No treatment medication was reported. Reporter causality was not reported. Most recent FOLLOW-UP information incorporated above includes: On 24-Feb-2025: Live significant follow-up received: As reported term and vaccination date was updated, Current condition, historical vaccine and co-suspect added.

Current illness

Blood pressure

Lab data

Test Date: 20250217; Test Name: covid-19 virus test; Test Result: Positive