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Report #2890152

Received Mar 20, 2026

Died
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
90 yrs
State
Recovered
Not recovered
Vaccinated
Onset
Days to onset
Hospital days

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK013L20A

Symptoms (1)

Death

Symptom narrative

Passed away; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (Passed away) in a 90-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) for COVID-19 prophylaxis. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. Death occurred on an unknown date The cause of death was not reported. It is unknown if an autopsy was performed. No concomitant medications were provided. It was reported that the patient passed away but he had no covid-related issues. It was reported that the patient had received the COVID-19 vaccine but never experienced any symptoms after that. No treatment medication was provided. This case was linked to MOD-2026-794358 (E2B Linked Report). Most recent FOLLOW-UP information incorporated above includes: On 13-Mar-2026: Live follow up received which contains significant information, patient's age, narrative and reference number added.; Reporter's Comments: Patient´s elderly age remains as a confounding factor for the case. The benefit-risk relationship of product is not affected by this report.; Sender's Comments: MOD-2026-794358:Master case (Reporter's case); Reported Cause(s) of Death: Passed away