Adverse Event Reporting

VAERS ID 2547977
Gender Male
Age
StateCode
Pharmaceutical Company MODERNA
Lot Number
Number of vaccinations
Vaccinated
Onset
Condition Died
Symptoms
  • Death

Current Illness

Diabetic

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

found dead; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (found dead) in a male patient of an unknown age who received mRNA-1273 BIVALENT .
222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.
4/BA.
5)) for COVID-19 prophylaxis.
Concurrent medical conditions included Diabetic.
On an unknown date, the patient received dose of mRNA-1273 BIVALENT .
222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.
4/BA.
5)) (unknown route) 1 dosage form.
Death occurred on an unknown date The cause of death was not reported.
It is unknown if an autopsy was performed.
For mRNA-1273 BIVALENT .
222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.
4/BA.
5)) (Unknown), the reporter did not provide any causality assessments.
Concomitant medication was not reported.
Patient got the booster shot found dead in the morning.
Treatment drug was not reported.
Company comment: This is a spontaneous case regarding a male patient of an unknown age, with concurrent medical condition of diabetes, who died after receiving mRNA-1273.
222 bivalent vaccine (Original/Omicron BA.
4/5).
The event Death (seriousness criteria death and medically significant) occurred on an unknown date.
The cause of death was not reported.
It is unknown if an autopsy was performed.
According to the report, patient received the booster shot and was found dead in the morning.
No further details were disclosed.
Concurrent medical condition of diabetes remains a confounding factor.
The benefit-risk relationship of mRNA-1273.
222 bivalent vaccine is not affected by this report.
This case was linked to US-MODERNATX, INC.
-MOD-2022-692839 (E2B Linked Report).
Reporter did not allow further contact; Sender's Comments: This is a spontaneous case regarding a male patient of an unknown age, with concurrent medical condition of diabetes, who died after receiving mRNA-1273.
222 bivalent vaccine (Original/Omicron BA.
4/5).
The event Death (seriousness criteria death and medically significant) occurred on an unknown date.
The cause of death was not reported.
It is unknown if an autopsy was performed.
According to the report, patient received the booster shot and was found dead in the morning.
No further details were disclosed.
Concurrent medical condition of diabetes remains a confounding factor.
The benefit-risk relationship of mRNA-1273.
222 bivalent vaccine is not affected by this report.
US-MODERNATX, INC.
-MOD-2022-692839:Master case; Reported Cause(s) of Death: unknown cause of death