Report #2844363

Received Jun 9, 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: 80 yrs
State: PA
Recovered: Recovered
Vaccinated: Oct 4, 2024
Onset: Oct 4, 2024
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3042560	IM / LA

Symptoms (4)

ChillsHeadacheInfluenza like illnessPain

Symptom narrative

Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Other Flu-Like Symptoms-Medium, Systemic: Headache-Medium