Received Oct 31, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | UNK | — | — |
| COVID19 | COVID19 (COVID19 (UNKNOWN)) | UNKNOWN MANUFACTURER | UNK | — | — |
passed away; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (passed away) in a 70-year-old female patient who received SPIKEVAX NOS (SPIKEVAX NOS) for COVID-19 prophylaxis. Co-suspect product included non-company product COVID-19 vaccine for an unknown indication. Concurrent medical conditions included Smoker. On an unknown date, the patient received dose of SPIKEVAX NOS (SPIKEVAX NOS) (unknown route) 1 dosage form and dose of COVID-19 vaccine (unknown route) 1 dosage form. Death occurred on 02-Dec-2024 The patient died on 02-Dec-2024. The cause of death was not reported. It is unknown if an autopsy was performed. No concomitant medication was reported. It was stated that patient passed away on 02-Dec-2024, that her death was unrelated to Moderna Covid vaccines, but she did take all of the Moderna vaccines in the past, except for the final booster. It was stated that her last shot was either in 2023 or 2024. It was unknown if the patient experienced any additional symptoms/events No treatment information was reported. This case was linked to US-MODERNATX, INC.-MOD-2025-788898 (E2B Linked Report).; Reporter's Comments: Essential details such as the exact date and cause of death, medical history, concomitant medications, and the clinical course leading to the event are missing. Additionally, the temporal relationship between the last vaccine dose and the fatal event is unclear. Further information has been requested. The benefit-risk relationship of product is not affected by this report.; Sender's Comments: US-MODERNATX, INC.-MOD-2025-788898:Son's case; Reported Cause(s) of Death: Unknown cause of death
Smoker