Adverse Event Reporting

VAERS ID 2547999
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)) (batch no.
ASKU) 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.
The action taken with mRNA-1273 BIVALENT .
222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.
4/BA.
5)) (Unknown) was unknown.
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.
No concomitant and treatment medications were reported.
It was reported that patient got the booster shot found dead morning.
Company comment: This spontaneous case concerns a male patient of unspecified age with no reported medical history, who experienced the fatal unexpected serious (Death) event of Death that occurred on unspecified day after receiving a dose of mRNA-1273 bivalentBA4/5 vaccine in the COVID-19 vaccination series.
It was reported that patient got the booster shot found dead morning.
Death occurred on an unknown date The cause of death was not reported.
It is unknown if an autopsy was performed.
No information on detailed clinical course, concomitant medication and treatment of the event was available in the report.
The benefit-risk relationship of mRNA-1273 bivalentBA4/5 is not affected by this report.
; Sender's Comments: This spontaneous case concerns a male patient of unspecified age with no reported medical history, who experienced the fatal unexpected serious (Death) event of Death that occurred on unspecified day after receiving a dose of mRNA-1273 bivalentBA4/5 vaccine in the COVID-19 vaccination series.
It was reported that patient got the booster shot found dead morning.
Death occurred on an unknown date The cause of death was not reported.
It is unknown if an autopsy was performed.
No information on detailed clinical course, concomitant medication and treatment of the event was available in the report.
The benefit-risk relationship of mRNA-1273 bivalentBA4/5 is not affected by this report.
; Reported Cause(s) of Death: unknown cause of death