Report #2865466

Received Oct 13, 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: 9 yrs
State: MN
Recovered: Unknown
Vaccinated: Oct 10, 2025
Onset: Oct 10, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052581	IM / RA

Symptoms (1)

Wrong product administered

Symptom narrative

Patient (child) received the incorrect vaccine. She received Moderna 12+ Covid vaccine rather than the consented Flu vaccine for a 9 year old.

Current illness

None indicated

Medical history

Unknown

Other medications

Parent consented to receive Flu vaccine, but received the 12+ Moderna vaccine in error. It is currently undetermined if any side effects occured as a result.

Allergies

Unknown

Lab data

Unknown