Report #2869793

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: Male
Age: 81 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 (1)

Underdose

Symptom narrative

Patient received pediatric dose of covid instead of adult dose. Patient was notified and given the option to come in for the correct dose.