Report #2848035

Received Jul 1, 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: 64 yrs
State: —
Recovered: Unknown
Vaccinated: Jun 30, 2025
Onset: Jun 30, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	8080803	IM / LA

Symptoms (1)

Expired product administered

Symptom narrative

Expired vaccine was administered to the patient.

Medical history

Hypertension, Asthma, Opiod dependence

Other medications

Suboxone 8-2mg, Ventolin HRA 108, Aspirin 81mg, Lisinopril-hydrochlorothiazide 10-12.5mg

Allergies

No Known Drug Allergies