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Report #2878153

Received Dec 16, 2025

Life-threateningOffice visit
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
66 yrs
State
FL
Recovered
Unknown
Vaccinated
Mar 24, 2021
Onset
Apr 1, 2022
Days to onset
373
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNA1006B21AIM / LA

Symptoms (2)

Deep vein thrombosisUltrasound Doppler abnormal

Symptom narrative

Developed blood clots in left leg within 8-12 months of first vaccine

Current illness

None

Medical history

None

Other medications

Lisinopril 5mg Liver support, Kidney support, Co-Q 10

Allergies

Penicillin

Lab data

Ultrasound detected multiple DVT 7/22