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Report #2868550

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
Female
Age
90 yrs
State
NY
Recovered
Recovered
Vaccinated
Oct 20, 2025
Onset
Oct 20, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13052579IM / LA

Symptoms (2)

No adverse eventUnderdose

Symptom narrative

No adverse reaction. Patient was given pediatric dose of vaccine instead of adult dose.

Lab data

not applicable