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Report #2893957

Received Apr 23, 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
75 yrs
State
MI
Recovered
Recovered
Vaccinated
Apr 22, 2026
Onset
Apr 22, 2026
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNAUNK3052996SYR / LA

Symptoms (2)

No adverse eventProduct storage issue

Symptom narrative

*patient is fine* vaccine was pulled from freezer on 1/13/26. BUD was 4/13/26. Vaccine was administered 9 days later, after BUD.

Current illness

none reported

Medical history

none reported

Other medications

atorvastatin 20 mg, Allopurinol 100 mg tab

Allergies

no know drug allergies

Lab data

none reported