Report #2857365

Received Sep 8, 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: 9 yrs
State: IL
Recovered: Recovered
Vaccinated: Sep 7, 2024
Onset: Sep 7, 2024
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	3	3042647	IM / RA

Symptoms (2)

Incorrect dose administeredNo adverse event

Symptom narrative

NO ADVERSE EVENT. WRONG DOSE PROVIDED FOR 9 YO AT THE TIME FOR A BOOSTER. SPIKEVAX 24-25 50MCG 12YO+ WAS PROVIDED FOR BOOSTER DOSE.

Current illness

NONE

Medical history

NONE

Other medications

NONE

Allergies

NONE

Lab data

NONE