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Report #2862059

Received Sep 29, 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
5 yrs
State
IN
Recovered
Unknown
Vaccinated
Sep 27, 2025
Onset
Sep 27, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13052579IM / LA

Symptoms (3)

Circumstance or information capable of leading to medication errorNo adverse eventUnderdose

Symptom narrative

Patient did not experience an adverse event. This is a reporting of an administration error. During administration of the pediatric Spikevax COVID-19 vaccine, patient jumped and pulled away. This resulted in the needle coming out of the muscle and failure in delivery of the entire dose of vaccine. According to the CDC Interim Clinical Considerations for COVID-19 Vaccination, Appendix: Vaccine Administration Errors and Deviations, recommendation is to repeat dose immediately (no minimum interval). Did discuss with parent who stated that they were in agreement as they were unsure where they would receive a re-administered dose in the future. Patient was administered an entire dose of pediatric Spikevax COVID-19 vaccine without issue.