Report #2829674

Received Mar 5, 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: 16 yrs
State: MD
Recovered: Unknown
Vaccinated: Mar 4, 2025
Onset: Mar 4, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	4	3044143	IM / RA
MNQ	MENINGOCOCCAL CONJUGATE (MENQUADFI)	SANOFI PASTEUR	2	U8493AA	IM / RA

Symptoms (1)

Underdose

Symptom narrative

Pt was administered the Moderna COVID vaccine for 6months-11year instead of 12+. Provider informed by staff. Parent informed.

Allergies

Shellfish, peanut, tree nut, fish