Report #2888406

Received Mar 10, 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: 17 yrs
State: WI
Recovered: Recovered
Vaccinated: Nov 28, 2025
Onset: Mar 9, 2026
Days to onset: 101
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	N/A	3052550	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	N/A	U8919AA	IM / RA
HEP	HEP B (HEPLISAV-B)	DYNAVAX TECHNOLOGIES CORPORATION	1	946912	IM / RA

Symptoms (2)

No adverse eventProduct administered to patient of inappropriate age

Symptom narrative

Please note that to our knowledge no adverse effect or reaction occurred. EHS is filing this report as Heplisav B vaccine was administrated which is not appropriate for people < 18 years of age.

Current illness

Unknown

Medical history

Unknown

Other medications

Unknown

Allergies

Unknown

Report #2888406

Overview

Vaccines (3)

Symptoms (2)

Symptom narrative

Current illness

Medical history

Other medications

Allergies

Lab data