Report #2876147

Received Dec 3, 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: 14 yrs
State: AZ
Recovered: Recovered
Vaccinated: Nov 26, 2025
Onset: Nov 26, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052668	IM / LA

Symptoms (1)

No adverse event

Symptom narrative

2nd dose was administered that did not meet the criteria for a valid dose, no reaction

Current illness

NONE

Medical history

NONE

Other medications

cetirizine tablet, 10 mg, 1 tab(s), orally, once a day

Allergies

NONE

Lab data

NONE