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Report #2853170

Received Aug 7, 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
62 yrs
State
NV
Recovered
Not recovered
Vaccinated
—
Onset
Jul 1, 2022
Days to onset
—
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK—IM

Symptoms (1)

COVID-19

Symptom narrative

Contracted covid 19 infection; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Contracted covid 19 infection) in a 62-year-old male patient who received SPIKEVAX NOS (SPIKEVAX NOS) for COVID-19 prophylaxis. No Medical History information was reported. On an unknown date, the patient received dose of SPIKEVAX NOS (SPIKEVAX NOS) (Intramuscular use) 1 dosage form. In July 2022, the patient experienced COVID-19 (Contracted covid 19 infection) (seriousness criterion death). The patient died on 29-Jul-2022. The reported cause of death was contracted covid 19 infection. It is unknown if an autopsy was performed. Concomitant medication was not reported. It was reported that he contracted COVID-19 infection about one week before he died on 29-Jul-2022. It was unknown if the patient experienced any additional symptoms/events. Treatment medication was not reported.; Reporter's Comments: Company comment: The benefit-risk relationship of product is not affected by this report.; Reported Cause(s) of Death: contracted covid 19 infection