Report #2834001

Received Apr 2, 2025

Died

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: 75 yrs
State: TN
Recovered: Not recovered
Vaccinated: Feb 19, 2021
Onset: Aug 18, 2022
Days to onset: 545
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	Not recorded	—

Symptoms (1)

Breakthrough COVID-19

Symptom narrative

Covid-19 Breakthrough Infection

Current illness

Unknown

Medical history

Lung Cancer

Other medications

Previous MAR not provided

Allergies

NKA