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Report #2902767

Received Jul 7, 2026

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

Overview

Sex
Male
Age
72 yrs
State
FL
Recovered
Unknown
Vaccinated
Nov 2, 2021
Onset
Jul 4, 2026
Days to onset
1705
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1040A21AIM / LA
COVID19COVID19 (COVID19 (MODERNA))MODERNA2032B21AIM / LA
COVID19COVID19 (COVID19 (MODERNA))MODERNA3058F21AIM / RA

Symptoms (2)

COVID-19SARS-CoV-2 test positive

Symptom narrative

Patient was vaccinated for and then tested positive for COVID-19virus.