Report #2865601

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: 60 yrs
State: SD
Recovered: Recovered
Vaccinated: Oct 13, 2025
Onset: Oct 13, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3053253	IM / LA

Symptoms (2)

No adverse eventUnderdose

Symptom narrative

Patient was mistakenly administered the pediatric dose of Moderna's Spikevax instead of the adult dose. After contacting the patient, they complained of no symptoms or reactions.

Current illness

Patient reported no illnesses.

Medical history

Patient reported no chronic health conditions.

Other medications

Unknown. Patient does not fill at this pharmacy.

Allergies

None

Lab data

n/a