Report #2891827

Received Apr 6, 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: 55 yrs
State: IN
Recovered: Not recovered
Vaccinated: Mar 30, 2026
Onset: Mar 30, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19-2	COVID19 (COVID19 (MODERNA BIVALENT))	MODERNA	1	3053756	IM / AR

Symptoms (4)

ChillsHeadacheMalaisePyrexia

Symptom narrative

Systemic: Chills-Medium, Systemic: Fever-Medium, Systemic: covid like symptoms-Medium, Systemic: Headache-Medium, Additional Details: pt was to receive 3 vaccines that day -covid, shingles, hepatitis b. What he actually recieved was moderna spikevax, moderna mnexspike, and heplisav B, therefore he received 2 covid vaccines, Other Vaccines: VaccineTypeBrand: covid -spikevax; Manufacturer: moderna; LotNumber: 3053258; Route: im; BodySite: arm; Dose: 1; VaxDate: 03/30/2026, VaccineTypeBrand: hepatitis b -Heplisav-b; Manufacturer: dynavax; LotNumber: 947355; Route: im; BodySite: arm; Dose: 1; VaxDate: 03/30/2026