Report #2870377

Received Nov 3, 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: 81 yrs
State: AZ
Recovered: Unknown
Vaccinated: Nov 3, 2025
Onset: Nov 3, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3052579	IM / OT

Symptoms (1)

Underdose

Symptom narrative

PATIENT WAS GIVEN A PEDIATRIC DOSE OF SPIKEVAX (NDC: 80777-0113-80). I REPORTED THE INCIDENT TO MODERNA. FOLLOWING CDC GUIDANCE ON MANAGEMENT OF ADMINISTRATION ERRORS, PT WAS GIVEN ANOTHER DOSE OF PEDIATRIC DOSE OF SPIKEVAX ON THE SAME CLINIC DAY TO MAKE IT 1 FULL DOSE FOR AN ADULT. BOTH DOSES WERE GIVEN ON HER RIGHT ARM.

Current illness

CUTANEOUS ABSCESS

Medical history

DIABETES, HYPERTENSION, HYPERCHOLESTEROLEMIA

Other medications

LATANOPROST 0.005% EYE DROPS, BACTRIM DS, JANUVIA 25 MG, GEMTESA 75 MG, LOSARTAN 100 MG, PAROXETINE 20 MG, AMLODIPINE 5 MG

Allergies

NONE