Report #2876276

Received Dec 4, 2025

Hospitalized

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: 54 yrs
State: AR
Recovered: Unknown
Vaccinated: Oct 18, 2022
Onset: Nov 19, 2025
Days to onset: 1128
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	4	060F22A	IM / LA

Symptoms (1)

COVID-19

Symptom narrative

hospitalized with COVID

Other medications

unknown

Allergies

penicillins