Report #2862547

Received Oct 1, 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: 74 yrs
State: MN
Recovered: Unknown
Vaccinated: Sep 27, 2025
Onset: Oct 1, 2025
Days to onset: 4
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	—	IM / LA

Symptoms (3)

Needle issueSyringe issueUnderdose

Symptom narrative

vaccine leaked between barrel of syringe and needle-insuffiencent dose delivered--- revaccinated 10/01/25 with same vaccine and same lot