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Report #2873099

Received Nov 17, 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
28 yrs
State
ND
Recovered
Recovered
Vaccinated
Nov 17, 2025
Onset
Nov 17, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13052859IM / LA

Symptoms (2)

No adverse eventUnderdose

Symptom narrative

Pediatric dose given to adult. No adverse reaction noted during appointment.

Allergies

NKA