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Report #2892740
Received Apr 14, 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
53 yrs
State
TX
Recovered
Recovered
Vaccinated
Nov 14, 2024
Onset
Nov 14, 2024
Days to onset
0
Hospital days
—
Vaccines (1)
Type
Name
Manufacturer
Dose
Lot
Route / Site
COVID19
COVID19 (COVID19 (MODERNA))
MODERNA
1
8080799
IM / RA
Symptoms (1)
Unevaluable event
Symptom narrative
None stated.