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Report #2867177

Received Oct 20, 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
11 yrs
State
CO
Recovered
Recovered
Vaccinated
Oct 16, 2025
Onset
Oct 1, 2025
Days to onset
—
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAN/A3052581IM

Symptoms (2)

No adverse eventProduct administered to patient of inappropriate age

Symptom narrative

The Moderna Spikevax Covid vaccine indicated for age 12 years and above was INADVERTANTLY given to this patient at age 11 years and 10 1/2 months. Patient had no adverse reaction or symptoms.

Lab data

no adverse reaction