Report #2866946

Received Oct 20, 2025

ER / ED visit

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: 20 yrs
State: PA
Recovered: Unknown
Vaccinated: Oct 18, 2025
Onset: Oct 18, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	UNK	3053648	IM
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	1	948418	IM / LA

Symptoms (1)

Anaphylactic reaction

Symptom narrative

Patient had an anaphylactic reaction; pharmacy staff administered epinephrine injection and called 911 for paramedics.