Report #2825576

Received Feb 10, 2025

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Male
Age: 41 yrs
State: MO
Recovered: Unknown
Vaccinated: Jan 15, 2025
Onset: Jan 1, 2025
Days to onset: —
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3044143	IM
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	UNK	4LM54	—
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	3BH5K	IM

Symptoms (1)

Underdose

Symptom narrative

Moderna COVID-19, 6mos-11y was entered as administered to an adult patient.

Other medications

Diabetic medications

Allergies

N/A