VAERS Explorer
Back to explore

Report #2871050

Received Nov 6, 2025

Office visit
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
MA
Recovered
Recovered
Vaccinated
Nov 5, 2025
Onset
Nov 5, 2025
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK3052581IM / RA
UNKVACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURERUNK——
UNKVACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURERUNK——

Symptoms (2)

Incorrect dose administeredNo adverse event

Symptom narrative

pt given Moderna SpikeVax 0.5mL for children 12+ years. Pt was 10 years at time of administration. Provider informed pt and parents, no known side effects at this point

Current illness

none

Other medications

none

Allergies

Amoxicillin