Report #2871511

Received Nov 8, 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: 7 yrs
State: OR
Recovered: Recovered
Vaccinated: Nov 8, 2025
Onset: Nov 8, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052668	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	N/A	5PP37	IM / RA

Symptoms (2)

Circumstance or information capable of leading to medication errorIncorrect dose administered

Symptom narrative

When administering the COVID vaccine, Pt did not want to cooperate and MOC had to hold child down, in the confusion the wrong dose of the COVID19 vaccine was administered. Instead of 0.25mL, 0.5mL was administered. This was reported to CTS, Mom of patient, and Provider onsite NP. Will call MOC to verify is second dose will be needed. Did let MOC know common side effects to be on the look at for per provider onsite. Pt waited 30 mins after administration to watch out for any allergic reactions. No reactions noted.

Current illness

N/A

Medical history

N/A

Other medications

Pediatric Multivitamin

Allergies

NKDA