Report #2871999

Received Nov 10, 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 10, 2025
Onset: Nov 10, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052663	IM / LA

Symptoms (1)

Incorrect dose administered

Symptom narrative

Pt received COVID19 Moderna Spikevax 12 years and up dose instead of pediatric dose for 11 and under.

Current illness

N/A

Medical history

N/A

Other medications

N/A

Allergies

NKDA

Lab data

N/A