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Report #2893956

Received Apr 23, 2026

Reports are unverified and do not show that a vaccine caused an event. Full disclaimer

Overview

Sex
Female
Age
74 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 in our fridge since 1/13/26, BUD 4/13/26. Rx was given 9 days AFTER BUD.

Current illness

none provided

Medical history

none provided

Other medications

atorvastatin 40 mg, lisinopril/hctz 20-25mg, metformin er 750 mg. remainder of med list unknown

Allergies

no known drug allergies

Lab data

none.