Report #2853966

Received Aug 13, 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: 62 yrs
State: NC
Recovered: Unknown
Vaccinated: Jul 28, 2025
Onset: Jul 28, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3046979	IM / RA

Symptoms (2)

No adverse eventUnderdose

Symptom narrative

Patient was administered the pediatric dose of Covid Vaccine. There were no adverse reactions. Patient did not have any symptoms related to administered dose.