Received Oct 6, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | UNK | — | IM |
COVID; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (COVID) in a 73-year-old male patient who received SPIKEVAX NOS (SPIKEVAX NOS) for COVID-19 prophylaxis. The patient's past medical history included Walking pneumonia (a year ago) in 2024 and Respiratory infection (then a month later (February) had a respiratory infection) in 2024. Concurrent medical conditions included HIV positive ((undetachable) with a recent drop in the his CD4 almost a 1/3rd, from over 900 to 640). On an unknown date, the patient received dose of SPIKEVAX NOS (SPIKEVAX NOS) (Intramuscular use) 1 dosage form. On an unknown date, received dose of SPIKEVAX NOS (SPIKEVAX NOS) (Intramuscular use) dosage was changed to 1 dosage form. On an unknown date, the patient experienced COVID-19 (COVID). At the time of the report, COVID-19 (COVID) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, CD4 lymphocytes: recent drop in the his CD4 almost a 1/3rd, from over 900 to 640. No concomitant medication was reported. Patient had COVID 6 months later after the first 2 vaccines Moderna made. Patient was HIV positive undetectable) with a recent drop in his CD4 almost a 1/3rd, from over 900 to 640 and a history of walking pneumonia a year ago then a month later (February) had a respiratory infection It was unknown if the patient experienced any additional symptoms/events. No treatment information was provided. This case was linked to US-MODERNATX, INC.-MOD-2025-789843 (E2B Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2025-789843:Case for multiple patient
Medical History/Concurrent Conditions: HIV positive ((undetachable) with a recent drop in the his CD4 almost a 1/3rd, from over 900 to 640); Respiratory infection (then a month later (February) had a respiratory infection); Walking pneumonia (a year ago)
Test Name: CD4 lymphocytes; Result Unstructured Data: recent drop in the his CD4 almost a 1/3rd, from over 900 to 640