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Report #2881096

Received Jan 8, 2026

Office 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
61 yrs
State
AR
Recovered
Unknown
Vaccinated
Dec 21, 2022
Onset
Jan 3, 2026
Days to onset
1109
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA5019H22AIM / RA

Symptoms (1)

COVID-19

Symptom narrative

covid infection with hospitalization after vaccination