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Report #2876763

Received Dec 8, 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
74 yrs
State
IN
Recovered
Unknown
Vaccinated
Jan 11, 2022
Onset
Jul 25, 2025
Days to onset
1291
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1069H21AIM / LA

Symptoms (2)

AgeusiaAnosmia

Symptom narrative

Reported Symptoms: 10024877:LOSS OF SMELL; 10043134:TASTE LOSS; Narrative: Patient has had intermittent loss of smell/taste on and off since about 2023, which the patient states is connected with COVID 19 vaccination, so allergy/adverse reaction was documented. Other Relevant HX: Other: LOSS OF SENSE OF SMELL/TASTE