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Report #2867614

Received Oct 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
4 yrs
State
WI
Recovered
Recovered
Vaccinated
Oct 21, 2025
Onset
Oct 21, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13052736RL

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

none

Current illness

none

Medical history

none

Other medications

none

Allergies

none