Report #2830742

Received Mar 11, 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: 59 yrs
State: OR
Recovered: Unknown
Vaccinated: Mar 6, 2025
Onset: Mar 9, 2025
Days to onset: 3
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3043024	IM / LA

Symptoms (1)

Underdose

Symptom narrative

None, injected childs vaccine instead of adult vaccine.

Current illness

none

Medical history

type 2 diabetes mellitus with polyneuropathy

Other medications

ADMELOG SOLOSTAR U-100 INSULIN 100 unit/mL injection pen, ascorbic acid (VITAMIN C) 500 mg tablet, aspirin 81 mg DR tablet, benazepriL-hydrochlorothiazide (LOTENSIN HCT) 20-25 mg per tablet, cholecalciferol (VITAMIN D-3) 25 mcg (1,000 unit)

Allergies

none

Lab data

none