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Report #2883772

Received Feb 3, 2026

ER / ED visitOffice visit
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Overview

Sex
Male
Age
78 yrs
State
FL
Recovered
Unknown
Vaccinated
Oct 8, 2022
Onset
Oct 8, 2022
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA2—IM / LA

Symptoms (1)

Thrombosis

Symptom narrative

Patient's caregiver/wife notified me that patient was hospitalized due to blood clots caused by the COVID vaccine per the doctors diagnosis. He is not longer recommended by the doctor to recieved any future COVID vaccines. Date of Awareness: 02/03/2026