Report #2874650

Received Nov 24, 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: 70 yrs
State: CA
Recovered: Recovered
Vaccinated: Oct 30, 2025
Onset: Oct 30, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052859	SC / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	1	UT8794DA	SC / LA

Symptoms (1)

Underdose

Symptom narrative

Wrong covid vaccine dose. Pt is an adult who received the Pediatric dose Covid Moderna.

Lab data

n/a