Report #2864897

Received Oct 10, 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: 80 yrs
State: ND
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	3052859	IM / RA

Symptoms (1)

Underdose

Symptom narrative

Patient received a child dose of Covid 0.25 mL instead of the adult dose of 0.5 mL

Current illness

Tinnitus, post nasal drip, urine urgency, muscle spasm

Medical history

Hyperlipidemia, Diverticular Disease of Colon, GERD, palpitations, Pancreatic Atrophy, chronic right side low back pain

Other medications

Ativan, Multivitamin, Prilosec, Probiotic, Omega 3 fatty acids

Allergies

Alkylamines, Loratadine-pseudoephedrine, doxycycline

Lab data

None