Report #2869035

Received Oct 28, 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: 6 yrs
State: CA
Recovered: Unknown
Vaccinated: Oct 27, 2025
Onset: Oct 28, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3052741	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	UNK	U8827AA	IM / LA

Symptoms (1)

No adverse event

Symptom narrative

PATIENT WAS ADMINISTERED COVID VACCINE SPIKEVAX FOR CHILDREN 12 YEARS AND OLDER WHEN PATIENT WAS 6 YEARS OLD. PATIENTS MOTHER STATED DAUGHTER WAS NOT EXPERIENCING ANY ADVERSE REACTIONS, DID GIVE HER TYLENOL THE MORNING OF 10/28/2025 PROPHYLACTICALLY.

Current illness

NONE

Medical history

NKA

Other medications

NONE

Allergies

NKA

Lab data

NONE