Report #2867419

Received Oct 21, 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: 90 yrs
State: MN
Recovered: Recovered
Vaccinated: Oct 21, 2025
Onset: Oct 21, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	7+	3052553	IM / LA

Symptoms (2)

No adverse eventUnderdose

Symptom narrative

No adverse reaction, just was given the pediatric dose instead of the adult dose. Called the CDC for guidance and gave the patient a second pediatric dose as recommended for the full volume of 0.5 mL.

Medical history

Benign prostatic hypertrophy

Other medications

Flomax 0.4 mg

Allergies

Cipro, Levaquin, Penicillin, Cephalosporins