Report #2869038

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: 4 yrs
State: MN
Recovered: Unknown
Vaccinated: Sep 23, 2025
Onset: Sep 23, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	—	IM
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	NA0846	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	UNK	—	IM

Symptoms (3)

Extra dose administeredProduct administered to patient of inappropriate ageWrong product administered

Symptom narrative

4-year-old client received Moderna 6m-11y and Pfizer 5y-11y covid vaccines. Nurse accidentally grabbed siblings vaccination in error and gave both. Informed family that client received 2 covid vaccines. Parents still wanted him to get flu vaccine, so nurse administer flu as well. Director of Clinical Operations called to check in with family.