Report #2874867

Received Nov 25, 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: LA
Recovered: Unknown
Vaccinated: Nov 19, 2025
Onset: Nov 19, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	N/A	3053283	IM / LA

Symptoms (2)

No adverse eventProduct administered to patient of inappropriate age

Symptom narrative

No adverse event or symptoms noted. Dose administered is for 6m-11years, patient was 12 years old at time of administration

Current illness

none

Medical history

none

Other medications

none

Allergies

perfume

Lab data

none