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Report #2880190
Received Dec 31, 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.
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Overview
Sex
Male
Age
14 yrs
State
IL
Recovered
Not recovered
Vaccinated
Dec 15, 2025
Onset
Dec 15, 2025
Days to onset
0
Hospital days
—
Vaccines (1)
Type
Name
Manufacturer
Dose
Lot
Route / Site
COVID19
COVID19 (COVID19 (MODERNA))
MODERNA
N/A
3052859
IM / LA
Symptoms (1)
No adverse event
Symptom narrative
None reported
Current illness
None
Medical history
none
Other medications
none
Allergies
NKA
Lab data
none