Adverse Event Reporting

VAERS ID	1016605
Gender	Male
Age
StateCode
Pharmaceutical Company	MODERNA
Lot Number
Number of vaccinations	1
Vaccinated
Onset
Condition	Died

Symptoms

• Sepsis
• Death

Current Illness

Preexisting Conditions

Medical History/Concurrent Conditions: No adverse event (No reported medical history)

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

Sepsis; A spontaneous report was received from a consumer post , concerning an approximately 55-year-old, male physician who received Moderna's COVID-19 vaccine (mRNA-1273) and developed sepsis, resulting in death.
There was no medical history provided.
There were no concomitant medications provided.
On an unknown date (Thursday), the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection.
According to the post, two days after vaccine administration, the patient died of sepsis on Saturday.
Action taken with mRNA-1273 in response to the event was not applicable.
The event, sepsis, was considered fatal.
The patient's date of death was not provided.
The cause of death was reported as sepsis.
; Reporter's Comments: This case concerns a 55-year-old, male subject, who experienced a serious unexpected event of Sepsis.
Sepsis occurred after first dose of mRNA-1273 vaccine administration.
On an unknown date, two days after vaccine administration, the patient died of sepsis.
Treatment for the event was not provided.
The patient's medical history was not provided.
The patient is a physician.
Concomitant product use was not reported.
Very limited information regarding this event has been provided at this time and no definite diagnosis or autopsy report have been provided.
Based on the current available information and temporal association between the use of the product and the start date of the event of Sepsis, a causal relationship cannot be excluded.
; Reported Cause(s) of Death: Sepsis