Report #2862638

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: Male
Age: 12 yrs
State: OR
Recovered: Unknown
Vaccinated: Oct 1, 2025
Onset: —
Days to onset: —
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3052736	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	UNK	FHY4R	IM / LA
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	2	Y015560	IM / LA

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

Patient has not had any adverse effects from this vaccination. The incorrect version of COVID vaccine was given to this patient. He received the mNexspike vaccine (0.2 ml) instead of the Spikevax (0.5ml). This does not put the patient in any danger. The provider spoke with the family via phone to discuss the error. The family expressed understanding and declines to have patient further vaccinated with the correct dose.

Current illness

N/A

Medical history

N/A

Other medications

N/A

Allergies

N/A

Lab data

None needed