Report #2867863

Received Oct 23, 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: Female
Age: 9 yrs
State: ME
Recovered: Recovered
Vaccinated: Oct 21, 2025
Onset: Oct 21, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	N/A	8146670	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	N/A	5EF45	IM / LA

Symptoms (2)

No adverse eventProduct administered to patient of inappropriate age

Symptom narrative

No adverse effect yet, just wanted to report this error

Current illness

None reported

Medical history

None reported

Other medications

Childrens Motrin 100mg/5Ml, Tylenol Childrens 160mg/5m: suspension are in chart, unsure if patient was currently taking these at time of vaccination

Allergies

NKDA

Lab data

N/A