Report #2835679

Received Apr 10, 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: 38 yrs
State: OR
Recovered: Recovered
Vaccinated: Mar 18, 2025
Onset: Mar 18, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	B0005	IM / RA
HEP	HEP B (HEPLISAV-B)	DYNAVAX TECHNOLOGIES CORPORATION	1	945661	IM / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	3RE73	IM / RA

Symptoms (2)

No adverse eventProduct storage error

Symptom narrative

No adverse event reported. Reporting this VAERS per Moderna after a temperature excursion, vaccine remained viable after the excursion per Moderna.

Current illness

Acute left-sided low back pain without sciatica

Medical history

None known

Other medications

None

Allergies

No known allergies

Lab data

N/A