Report #2875718

Received Dec 1, 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: 12 yrs
State: OR
Recovered: Recovered
Vaccinated: Dec 1, 2025
Onset: Dec 1, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	5	3052995	IM / RA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

Administered dose of Spikevax meant for 6m-11y to a 12-year-old patient

Current illness

None reported

Medical history

None reported

Other medications

None reported

Allergies

None reported

Lab data

None