Report #2848370

Received Jul 3, 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: 4 yrs
State: WA
Recovered: Recovered
Vaccinated: Jun 30, 2025
Onset: Jun 30, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	B0011	IM / LL

Symptoms (3)

No adverse eventProduct administered to patient of inappropriate ageWrong product administered

Symptom narrative

Patient and his twin were meant to receive the Moderna COVID vaccine indicated for patients 6 months to 11 years of age, but were instead given the Spikevax vaccine indicated for patients 12 years and older. The order was placed incorrectly by the MA (per protocol) and then barcode scanning occurred, but because the order was placed incorrectly system did not flag the vaccine as incorrect for this patient. No unexpected side effects occurred.