Report #2863206

Received Oct 4, 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: 4 yrs
State: MI
Recovered: Unknown
Vaccinated: Oct 4, 2025
Onset: Oct 4, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052669	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	UNK	409413	IM / LA

Symptoms (1)

Incorrect dose administered

Symptom narrative

COVID (moderna SPIKEVAX) adult dose given instead of pediatric dose

Current illness

n/a

Medical history

n/a

Other medications

n/a

Allergies

n/a