Report #2869020

Received Oct 28, 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: MN
Recovered: Unknown
Vaccinated: Sep 30, 2025
Onset: Sep 30, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3052671	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	UNK	948407	IM / LA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

Gave 11 year old client Moderna 12+ instead of Moderna 6m-11y.