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Report #2869003

Received Oct 28, 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
76 yrs
State
IL
Recovered
Unknown
Vaccinated
Oct 27, 2025
Onset
Oct 28, 2025
Days to onset
1
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA18146670IM

Symptoms (1)

Unevaluable event

Symptom narrative

Came to receive the Covid 19 and the Fluzone. He only received the Covid 19.

Current illness

Not reported

Medical history

Not reported

Other medications

Not reported

Allergies

NKDA