Report #2836248

Received Apr 15, 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: 27 yrs
State: OR
Recovered: Recovered
Vaccinated: Mar 11, 2025
Onset: Mar 11, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	B0005	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUBLOK)	SANOFI PASTEUR	N/A	—	IM / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	3RE73	IM / LA

Symptoms (2)

No adverse eventProduct storage error

Symptom narrative

No adverse event reported. Reporting per Moderna after a temperature excursion, vaccine remained viable after the excursion per Moderna.

Current illness

PTSD. acne vulgaris,

Medical history

acne vulgaris, congenital talipes calcaneovalgus right foot, adjustment disorder, family history of clotting disorder

Other medications

tretinoin, escitalopram, melatonin

Allergies

No known allergies

Lab data

N/A