Report #2878580

Received Dec 18, 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: MI
Recovered: Unknown
Vaccinated: Dec 18, 2025
Onset: Dec 18, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3053856	IM / RL
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	UNK	U8881BA	IM / LL
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	2	2008509	IM / LL

Symptoms (1)

Unevaluable event

Symptom narrative

none