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Report #2873614

Received Nov 19, 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
4 yrs
State
AZ
Recovered
Not recovered
Vaccinated
Nov 19, 2025
Onset
—
Days to onset
—
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13052550IM / RA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

N/A

Current illness

none

Medical history

none

Other medications

none

Allergies

none

Lab data

N/A