Report #2861716

Received Sep 26, 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: NY
Recovered: Recovered
Vaccinated: Sep 12, 2025
Onset: Sep 12, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	30526663	IM / LA

Symptoms (2)

Abdominal pain upperInappropriate schedule of product administration

Symptom narrative

patient is 10 yrs old and got the moderna 12 yr old and up vaccine. Patients mother stated the patient had a stomach ache the next day. Did not need to be seen by anyone for side effect.

Lab data

N/A