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Report #2844471

Received Jun 10, 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
70 yrs
State
NC
Recovered
Unknown
Vaccinated
Jun 9, 2025
Onset
Jun 9, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13044091IM / LA

Symptoms (3)

No adverse eventUnderdoseWrong product administered

Symptom narrative

Staff administered the wrong vaccine (0.25mL dose for ages 6 months to 11 years), no signs or symptoms were present. Patient left facility.

Medical history

Allergic rhinitis Hip joint pain Lumbar radiculitis Avascular necrosis of bone of hip Chronic hepatitis C Smoker B12 deficiency Major depression with psychotic features Prediabetes Thyroid disease Hypertension Hyperlipidemia Polyarthropathy Herniation of intervertebral disc Vitamin D deficiency Major depressive disorder, recurrent episode, severe, with psychosis Chronic renal insufficiency Anxiety Arthritis of hand False vocal cord lesion

Other medications

Albuterol 90mcg, amlodipine 10mg, atorvastatin 40mg, estrogen 0.625mg/g, cyanocobalamin 1000mcg, diclofenac sodium, ergocalicerfol 1250mcg, fluoxetine 20mg and 40mg, fluticasone 50mcg, gabapentin 600mg, hydrochlorothiazide 25mg, incruse ell

Allergies

NKA

Lab data

n/a