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Report #2865483

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
Male
Age
5 yrs
State
IN
Recovered
Unknown
Vaccinated
Oct 13, 2025
Onset
Oct 13, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA23052859IM / RA
HPV9HPV (GARDASIL 9)MERCK & CO. INC.1Y015560IM / LA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

Pt received the above vaccines outside of the age indication. There were two patients with the same first name in our office at the same time. When the patient presented to the vaccinator, patient's dad confirmed that the DOB, first and last name written on the consent form were correct for his child. Once the incident was identified, Lead Nurse called and informed the patient's father of the incident and that VAERS would be completed.

Current illness

Unknown

Medical history

None listed on health questionnaire

Other medications

Unknown

Allergies

No allergies listed on health questionnaire