Report #2829323

Received Mar 4, 2025

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: 46 yrs
State: CO
Recovered: Unknown
Vaccinated: Nov 13, 2024
Onset: Nov 13, 2024
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3044091	IM / LA

Symptoms (2)

No adverse eventUnderdose

Symptom narrative

Client came in to receive COVID and Flu vaccines. This RN administered the child dose 6mo-11yr of Private vaccine to client. No adverse symptoms noted at time of vaccination and none reported to clinic by client. This RN did call client on 3/4/2025 and rescheduled him for correct adult dose of COVID vaccine on 3/10/25.

Current illness

none

Medical history

none

Other medications

n/a

Allergies

none

Lab data

n/a