Report #2841046

Received May 14, 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: Female
Age: 98 yrs
State: WI
Recovered: Recovered
Vaccinated: May 14, 2025
Onset: May 14, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	N/A	3046714	IM

Symptoms (2)

Inappropriate schedule of product administrationNo adverse event

Symptom narrative

THE PATIENT CAME IN FOR A COVID-19 BOOSTER. IT WAS INITIALLY NOTED THAT HER LAST SHOT WAS ON 9/23/25, SO A BOOSTER WAS IN ORDER ACCORDING TO THE GUIDE LINES ( TW MONTHS OR MORE FROM HER LAST SHOT IN THE FALL. LATER WHEN THE PATIENT GOT HOME ( ABOUT HALF HOUR AFTER SHE LEFT PHARMACY ( 12;30PM) ), HER DAUGHTER NOTICED THAT THE IMMUNIZATION REGISTRY SHOWED A DATE OF 4/1/25 AS HER LAST COVID-19 SHOT. THE PATIENT OR HER DAUGHTER DO NOT REMEMBER A VACCINE BEING GIVEN ON 4/1/25. NO ADVERSE EVENT REPORTED AT THIS TIME, BUT THE PATIENT MAY HAVE GOTTEN A BOOSTER TOO SOON.

Other medications

NOT KNOWN

Allergies

KNDA

Lab data

NONE