Report #2887877

Received Mar 6, 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: Female
Age: 12 yrs
State: TX
Recovered: Unknown
Vaccinated: Sep 24, 2025
Onset: Sep 24, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	7+	H3924	IM / LA
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	2	Y018297	IM / LA
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	1	U8384AA	IM / RA
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	2	Y014939	SC / RA

Symptoms (1)

Extra dose administered

Symptom narrative

VACCINATOR PROVIDED VACCINATION BASED ON REVIEW OF THE RECORD AND THE CLINIC RECORD. HE DID NOT REVIEW THE UPLOADED RECORD PROVIDED BY THE PARENT/PATIENT.

Current illness

NONE

Medical history

NONE

Other medications

NONE

Allergies

NONE

Lab data

NONE