Report #2876488

Received Dec 5, 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: 56 yrs
State: MI
Recovered: Unknown
Vaccinated: Dec 4, 2025
Onset: Dec 4, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	N/A	3052553	IM / RA

Symptoms (1)

Underdose

Symptom narrative

pediatric dose given over adult.

Current illness

Endocrine Type 2 diabetes mellitus (HCC) Musculoskeletal Rheumatoid arthritis (HCC) CTS (carpal tunnel syndrome) Psychological Major depression, recurrent, chronic Other H/O total hysterectomy S/P carpal tunnel release

Medical history

11/06/2024 H/O total hysterectomy 11/06/2024 S/P carpal tunnel release

Other medications

acetaminophen-codeine (TYLENOL #3) 300-30 mg per tablet venlafaxine (EFFEXOR-XR) 150 mg XR capsule BuPROPion (WELLBUTRIN XL) 150 mg XL tablet atorvaSTATin (LIPITOR) 10 mg tablet estradioL (CLIMARA) 0.05 mg/24 hr traMADoL (ULTRAM) 50 mg

Allergies

gabapentin, cyclobenzaprine

Lab data

n/a