Report #2865061

Received Oct 10, 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: 4 yrs
State: OR
Recovered: Recovered
Vaccinated: Oct 10, 2025
Onset: Oct 10, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	6	3053253	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	6	UT8858JA	IM / RA

Symptoms (4)

DyspnoeaPallorTachycardiaVomiting

Symptom narrative

Patient received vaccines and then went to leave with family. On his way out, he vomited x 3 in the waiting room. Was brought back for monitoring and to retake vitals, where he appeared pale. Patient also noted he felt like it was hard to breathe transiently, but this resolved on its own. Vitals were stable aside from transient tachycardia, patient was monitored and then d/c without further intervention once returned to baseline. It should be noted patient was highly anxious to receive vaccines.

Other medications

Candy given at time of vaccination to try and distract patient.