Report #2877475

Received Dec 11, 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: 46 yrs
State: IN
Recovered: Not recovered
Vaccinated: Jan 24, 2022
Onset: Feb 7, 2022
Days to onset: 14
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	—	IM / LA

Symptoms (2)

DeathPulmonary embolism

Symptom narrative

Massive pulmonary embolus resulting in death

Current illness

None

Medical history

None

Other medications

None

Allergies

None