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Report #2860623

Received Sep 22, 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
3 yrs
State
CA
Recovered
Unknown
Vaccinated
Aug 29, 2025
Onset
Aug 29, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA23046979IM / LA

Symptoms (2)

No adverse eventProduct administered to patient of inappropriate age

Symptom narrative

Not applicable. There was no adverse event. Vaccine was given after FDA's EUA for the vaccine administration was revoked.

Lab data

Not applicable.