Report #2853944

Received Aug 13, 2025

Life-threateningHospitalizedDisabledBirth defect

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: 76 yrs
State: FL
Recovered: Unknown
Vaccinated: Feb 1, 2021
Onset: Feb 1, 2024
Days to onset: 1095
Hospital days: 17

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	—	—

Symptoms (1)

Unevaluable event

Symptom narrative

None stated.

Medical history

Diabetes 1