Report #2893014

Received Apr 16, 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: 11 yrs
State: VA
Recovered: Unknown
Vaccinated: Feb 3, 2026
Onset: Feb 3, 2026
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052581	IM / LA
HEP	HEP B (ENGERIX-B)	GLAXOSMITHKLINE BIOLOGICALS	3	9G523	IM / LA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

Adult vaccine given to 11 year-old.

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

None