Report #2842009

Received May 21, 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: 19 yrs
State: GA
Recovered: Not recovered
Vaccinated: Apr 15, 2021
Onset: Dec 26, 2023
Days to onset: 985
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	3	001c21a	IM / RA

Symptoms (2)

AutopsyDeath

Symptom narrative

Death

Lab data

available from autopsy report