Report #2869970

Received Nov 1, 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: 12 yrs
State: FL
Recovered: Unknown
Vaccinated: Nov 1, 2025
Onset: Nov 1, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	N/A	305258	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	N/A	409413	IM / LA

Symptoms (2)

DyspnoeaPain in extremity

Symptom narrative

Patient and father had come to the pharmacy. Patient had stated she had trouble breathing and arm was sore. Provided advil 200mg and took blood pressure. 129/82 and pulse of 70

Current illness

None

Medical history

None

Other medications

None

Allergies

None