Report #2900634

Received Jun 18, 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: 7 yrs
State: OR
Recovered: Unknown
Vaccinated: Jun 17, 2026
Onset: Jun 17, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	5	3053258	IM / LA

Symptoms (1)

Unevaluable event

Symptom narrative

None known yet

Current illness

none

Medical history

Mild intermittent asthma

Other medications

Albuterol

Allergies

Pine nut