Report #2869788

Received Oct 31, 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: 74 yrs
State: WI
Recovered: Unknown
Vaccinated: Oct 1, 2025
Onset: Oct 1, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	7+	3052579	IM

Symptoms (2)

UnderdoseWrong product administered

Symptom narrative

Patient received Spikevax instead of Comirnaty. (child vs adult). Patients were notified approximately 3 days later and were given the choice to come in and get the correct vaccine. Staff members who administered incorrect vaccine were given a refresher course on vaccines.