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Report #2904483

Received Jul 23, 2026

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

Overview

Sex
Male
Age
70 yrs
State
NV
Recovered
Unknown
Vaccinated
Apr 8, 2021
Onset
Apr 9, 2021
Days to onset
1
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19-2COVID19 (COVID19 (MODERNA BIVALENT))MODERNA2025B21AIM / RA

Symptoms (3)

Feeling coldHeadacheMyalgia

Symptom narrative

Reported Symptoms: 10008531:CHILLS; 10019211:HEADACHE; 10028322:MUSCLE PAIN; 10028411:MYALGIA; Narrative: Patient had flu like symptoms with second vaccine, which is expected with immune response from a vaccine. A third dose was given on 12/23/21 and did not see any evidence of patient calling in with concerns of reaction. Other Relevant HX: Other: CHILL (4/8/21@16:00); HEADACHE (4/8/21@16:00)