Report #2869579

Received Oct 30, 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: 10 yrs
State: UT
Recovered: Unknown
Vaccinated: Oct 10, 2025
Onset: Oct 10, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	N/A	3052581	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	N/A	407003	IM / RA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

MODERNA SPIKEVAX .5 ML FOR 12+ GIVEN TO AGE 10 IN ERROR

Current illness

UNKNOWN

Medical history

UNKNOWN

Other medications

UNKNOWN

Allergies

NKA