Report #2868545

Received Oct 27, 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: 6 yrs
State: MA
Recovered: Recovered
Vaccinated: Oct 27, 2025
Onset: Oct 27, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052579	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	1	407005	IM / RA

Symptoms (2)

Circumstance or information capable of leading to medication errorUnderdose

Symptom narrative

When administering the Covid vaccine the patient moved and the needle came out of the patients arm. The patient received less than 1/4 of the dose. Per CDC recommendation when less than half the dose is administered the patient should receive the full dose immediately. With patients mothers consent the patient received the full dose. Patient was observed for 15 minutes and had no reactions.

Allergies

NKA