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Report #2884212
Received Feb 3, 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.
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Overview
Sex
Male
Age
56 yrs
State
CA
Recovered
Unknown
Vaccinated
Dec 22, 2025
Onset
Dec 22, 2025
Days to onset
0
Hospital days
—
Vaccines (2)
Type
Name
Manufacturer
Dose
Lot
Route / Site
COVID19
COVID19 (COVID19 (MODERNA))
MODERNA
UNK
3052669
IM / LA
FLU3
INFLUENZA (SEASONAL) (FLUCELVAX)
SEQIRUS, INC.
N/A
407003
IM / LA
Symptoms (1)
Product storage error
Symptom narrative
Moderna Spikevax given past Beyond Use Date