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Report #2893957

Received Apr 23, 2026

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