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Report #2835975

Received Apr 14, 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
17 yrs
State
KS
Recovered
Unknown
Vaccinated
Apr 11, 2025
Onset
Apr 11, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA33044211IM / RA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

6 mo thru age 11yo formulation administered to this pt.

Current illness

None known

Medical history

None known

Other medications

Unknown

Allergies

NKDA

Lab data

None