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Report #2880437

Received Jan 2, 2026

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
9 yrs
State
—
Recovered
Unknown
Vaccinated
Dec 22, 2025
Onset
Jan 2, 2026
Days to onset
11
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK3053855IM / RA
TDAPTDAP (ADACEL)SANOFI PASTEUR1U8620BAIM / RA

Symptoms (2)

Injection site painInjection site swelling

Symptom narrative

swelling, pain at injection site