Report #2867076

Received Oct 20, 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: 18 yrs
State: FL
Recovered: Unknown
Vaccinated: Oct 14, 2025
Onset: Oct 14, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19-2	COVID19 (COVID19 (MODERNA BIVALENT))	MODERNA	1	3053669	IM / LA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

Site: Pain at Injection Site-Mild, Additional Details: patient not within protocol as patient is 18. patient did not react to vaccine