Report #2847553

Received Jun 27, 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: 89 yrs
State: MI
Recovered: Recovered
Vaccinated: Jun 25, 2025
Onset: Jun 1, 2025
Days to onset: —
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3044069	IM / LA

Symptoms (2)

Expired product administeredNo adverse event

Symptom narrative

Resident was given vaccine covid spikevax moderna that expired on 6/14/2025. Resident displayed no complications related to vaccine.

Current illness

None

Medical history

Alzheimers late onset, ASHD, Hyperlipidemia, A-fib

Other medications

B12 1000mcg qday every 2 days, aspirin 81mg qday, MOM PRN, Tylenol PRN

Allergies

No known allergies

Lab data

None