Report #2861843

Received Sep 27, 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: CA
Recovered: Recovered
Vaccinated: Sep 15, 2025
Onset: Sep 15, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	NA0738	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	1	UT8779MA	IM / LA

Symptoms (1)

Incorrect dose administered

Symptom narrative

Patient received a non-age-appropriate dose of COVID-19 vaccine. Patient received COVID-19 mRNA 2025-2026 12yrs-adult Cominraty pfizer 30mcg dose.

Allergies

NKA