Report #2875120

Received Nov 26, 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: 17 yrs
State: OR
Recovered: Recovered
Vaccinated: Nov 19, 2025
Onset: Nov 19, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3052995	IM / LA
FLUN3	INFLUENZA (SEASONAL) (FLUMIST)	MEDIMMUNE VACCINES, INC.	UNK	YH3388	IN / NS

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

Moderna 6m-11y dose given to patient that is over the age range.

Current illness

No known.

Other medications

No known.

Allergies

NKA, NKDA

Lab data

N/A