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Report #2896330

Received May 12, 2026

DiedHospitalized

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

Overview

Sex
Male
Age
12 yrs
State
CA
Recovered
Not recovered
Vaccinated
Nov 26, 2025
Onset
Feb 18, 2026
Days to onset
84
Hospital days
4

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA58146545IM / LA
FLU3INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR2UT8779MAIM / LA

Symptoms (2)

Cardiac arrestDeath

Symptom narrative

Sudden Cardiac arrest and Death

Current illness

Acute sinusitis, migraine,

Other medications

Fluticasone Nasal Suspension

Allergies

Compazine

Lab data

Admission to hospital