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Report #2876262

Received Dec 4, 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
CA
Recovered
Unknown
Vaccinated
Dec 2, 2025
Onset
Dec 2, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK3052859IM / RA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

No symptom Error made. Pt was given Covid Vaccine Spikevax 6mos to 11yrs of age and pt is 12 years old.