Report #2869510

Received Oct 30, 2025

Office visit

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: 74 yrs
State: MN
Recovered: Unknown
Vaccinated: Oct 29, 2025
Onset: Oct 1, 2025
Days to onset: —
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3052579	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	N/A	UT8852LA	IM / RA

Symptoms (1)

Underdose

Symptom narrative

Covid-19 incorrect formulation given to patient. No adverse event were noted/reported by patient.

Allergies

none