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Report #2861676

Received Sep 26, 2025

Office visit
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
71 yrs
State
AR
Recovered
Unknown
Vaccinated
Dec 10, 2021
Onset
Sep 23, 2025
Days to onset
1383
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA3939909IM / LA

Symptoms (1)

COVID-19

Symptom narrative

covid infection with hospitalization after vaccination