Report #2836833

Received Apr 18, 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: 11 yrs
State: MI
Recovered: Unknown
Vaccinated: Apr 17, 2025
Onset: Apr 17, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	MD3414	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	UNK	332H7	IM / RA
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	1	Y012865	IM / LA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

Patient is 11 years old and received Covid vaccine intended for ages 12 and older.

Other medications

Zoloft

Allergies

Cephalosporins, Adhesive