Report #2869186

Received Oct 28, 2025

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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: 16 yrs
State: TX
Recovered: Unknown
Vaccinated: Oct 27, 2025
Onset: Oct 28, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	1	LX5014	IM / RA

Symptoms (1)

Unevaluable event

Symptom narrative

SEE ATTACHED DOCUMENTS

Lab data

NONE