Report #2872413

Received Nov 12, 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: 13 yrs
State: IL
Recovered: Unknown
Vaccinated: Nov 11, 2025
Onset: Nov 11, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	B0021	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	UNK	FH4YR	IM / LA

Symptoms (2)

Expired product administeredNo adverse event

Symptom narrative

The Covid vaccine that was administered to the patient was expired (expiration date 09/14/2025). No adverse event at this time.

Current illness

none

Medical history

enlarged tonsils; Vitamin D deficiency; secondary hyperparathyroidism; strabismus; exophoria; astigmatism; hyperphosphatemia; Attention deficit hyperactivity disorder (ADHD); disruptive mood dysregulation disorder; facial twitching; transient tics; UARS (upper airway resistance syndrome); snoring; sleep disturbance; elevated alkaline phosphatase level

Other medications

cholecalciferol, guanfacine, Vyvanse, amphetamine-dextroamphetamine

Allergies

no known allergies

Lab data

none