Report #2876682

Received Dec 7, 2025

ER / ED visit

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: VT
Recovered: Unknown
Vaccinated: Dec 6, 2025
Onset: Dec 7, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	N/A	0491521-18375	SYR / LA
FLU3	INFLUENZA (SEASONAL) (FLUARIX)	GLAXOSMITHKLINE BIOLOGICALS	N/A	0491518-18375	SYR / LA

Symptoms (7)

Feeling coldHeadacheInjection site painIrregular breathingPyrexiaRespiratory rate increasedVomiting

Symptom narrative

Intially after injection, my son complained more than usual about pain in the injection site. He described body pain throughout the day. He woke me at 5 am saying he couldn?t warm up. His skin was cold to the touch. His breathing was rapid and irregular. He was able to calm it with coaching. At 5:30 he was feverish. He asked to take pain medication. I gave him 2 children?s ibuprofen & water. He threw up 6 minutes later. He reported a painful headache.

Medical history

Multiple food intolerances IBS symptoms: egg, dairy, gluten, nuts, peanuts

Other medications

Allegra (pm dose 180 mg), famotidine (20mg), montelukast (5mg)