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Report #2866579

Received Oct 17, 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
83 yrs
State
—
Recovered
Unknown
Vaccinated
—
Onset
—
Days to onset
—
Hospital days
—

Vaccines (1)

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

Symptoms (1)

COVID-19

Symptom narrative

Covid; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Covid) in an 83-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) (unknown route) 1 dosage form. On an unknown date, the patient experienced COVID-19 (Covid). At the time of the report, COVID-19 (Covid) outcome was unknown. The action taken with SPIKEVAX NOS (SPIKEVAX NOS) (Unknown) was unknown. No concomitant medications were reported. It was unknown if the patient received vaccines within the past 4 weeks. It was reported that the patient had received Moderna vaccine, and it was proven at that time to those last several years of this, it was a much better alternative for them that were older. He got COVID and had those vaccines and that's what saved his life. No treatment information was provided. This case was linked to US-MODERNATX, INC.-MOD-2025-790239 (E2B Linked Report). Reporter did not allow further contact Most recent FOLLOW-UP information incorporated above includes: On 13-Oct-2025: Live follow-up received contains no new information.; Sender's Comments: US-MODERNATX, INC.-MOD-2025-790239:Different patient