Report #2880610

Received Jan 5, 2026

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: 81 yrs
State: WY
Recovered: Recovered
Vaccinated: Dec 26, 2025
Onset: Dec 26, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3053667	IM / LA

Symptoms (2)

No adverse eventVaccination error

Symptom narrative

No adverse event- administration error only