Report #2868345

Received Oct 25, 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: 8 yrs
State: OR
Recovered: Unknown
Vaccinated: Oct 25, 2025
Onset: Oct 25, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3053253	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	N/A	948400	IM / LA

Symptoms (3)

AstheniaDizzinessPallor

Symptom narrative

Given by CMA, Vaccine clinic. Patient waited with family for required 15 min. but was brought back in by dad being carried. Patient was pale, weak, dizzy, evaluated by RN given water, laying down, rice crispy treat. declined juice, monitored by RN for additional 10 min. patient looking and feeling better ambulating left w/family.

Current illness

None

Medical history

None

Other medications

Vit D

Allergies

NKDA