Report #2836710

Received Apr 17, 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: 10 yrs
State: TX
Recovered: Unknown
Vaccinated: Apr 16, 2025
Onset: Apr 16, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	3044079	IM / LA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Patient received one dose on 3/19/2025 and a second dose on 4/16/2025. Patient had no adverse reactions noted.

Current illness

None

Other medications

None

Allergies

None