Report #2869796

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: 79 yrs
State: WI
Recovered: Unknown
Vaccinated: Oct 1, 2025
Onset: Oct 31, 2025
Days to onset: 30
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 was given pediatric dose of covid instead of adult dose. Patient was notified approximately 3 days after and given the option to come back for the adult dose.