Report #2864510

Received Oct 8, 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: 73 yrs
State: TN
Recovered: Recovered
Vaccinated: Oct 8, 2025
Onset: Oct 8, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

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

Symptoms (2)

No adverse eventUnderdose

Symptom narrative

PATIENT RECEIVED PEDIATRIC VACCINE INSTEAD OF ADULT VACCINE, NO ISSUES REPORTED

Other medications

LEVETIRACETAM 750MG; VITAMIN D2 50000; ZONISAMIDE 100MG

Allergies

LAMOTRIGENE