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Report #2844659

Received Jun 11, 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
41 yrs
State
AZ
Recovered
Recovered
Vaccinated
Jun 11, 2025
Onset
Jun 11, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13046732IM / LA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

No known adverse reaction. Pt received two doses of COVID vaccine. Dose 1: 10/29/2024. Dose 2: 06/11/2025

Current illness

N/A

Medical history

N/A

Other medications

N/A

Allergies

NKDA

Lab data

N/A