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Report #2870001

Received Nov 2, 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
10 yrs
State
DE
Recovered
Unknown
Vaccinated
Nov 2, 2025
Onset
Nov 2, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13052579IM / LA

Symptoms (1)

Syncope

Symptom narrative

CLIENT HAD A SHOT OF SPIKEVAX PEDIATRIC 2025/2026 (0.25ML) DOSE. HE WAS VERY FINE AND STABLE WHILE WAITING FOR OTHER 3 MEMBERS OF HIS FAMILY TO GET THEIR SHOTS . HE FAINTED OUTSIDE IN THE PARKING LOT ACCORDING TO HIS FATHER WHO RAN INTO THE STORE TO ALERT US. I ASKED HIM TO CALL EMS OR TAKE HIM TO EMERGENCY ROOM FOR OBSERVATION. WHILE IN THE ER, I FOLLWED UP WITH PHONE TO THE MOTHER .

Current illness

NONE

Medical history

NONE

Other medications

NONE

Allergies

NONE

Lab data

NOT SURE