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Report #2876590

Received Dec 5, 2025

Died
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
Age unknown
State
—
Recovered
Not recovered
Vaccinated
—
Onset
—
Days to onset
—
Hospital days
—

Vaccines (1)

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

Symptoms (1)

Thrombosis

Symptom narrative

blood clots causing death; This spontaneous case was reported by a consumer and describes the occurrence of THROMBOSIS (blood clots causing death) in a male patient of an unknown age 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 THROMBOSIS (blood clots causing death) (seriousness criteria death and medically significant). The reported cause of death was blood clots causing death. It is unknown if an autopsy was performed. No concomitant medications provided by the reporter. The patient singed on patient consented form before the vaccination from where it was mentioned that blood clots could be a side effect post vaccination. It was reported that the patient had vaccination and after two weeks of vaccination the patient died from the blood clot. No treatment medications provided by the reporter.; Reporter's Comments: The benefit-risk relationship of product is not affected by this report.; Reported Cause(s) of Death: blood clots causing death