Report #2872416

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: 10 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	3046979	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	UNK	FH4YR	IM / RA

Symptoms (2)

Expired product administeredNo adverse event

Symptom narrative

The Covid vaccine that was administered to the patient was expired (expiration date 09/12/2025). No adverse event at this time.

Current illness

none

Medical history

heart murmur; enlarged tonsils; dental cavities; seasonal allergic rhinitis; history of iron deficiency anemia; Attention deficit hyperactivity disorder (ADHD); disruptive mood dysregulation disorder; stuttering; snores; low ferritin

Other medications

loratadine, azelastine ophthalmic drop, flunisolide nasal spray; cetirizine, methylpheniDATE ER, Focalin XR 10 MG 24 hr, ARIPiprazole

Allergies

no known allergies

Lab data

none