Report #2879240

Received Dec 22, 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: 34 yrs
State: MI
Recovered: Unknown
Vaccinated: Dec 22, 2025
Onset: Dec 22, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3053667	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	UNK	U8863EA	IM / LA

Symptoms (1)

Underdose

Symptom narrative

Patient was administered a 0.25mg dose of Moderna, 6 month-11 years old dose, instead of ordered dose. Patient was supposed to receive adult dose Moderna Spikevax 12 and up. No adverse reaction to be expected

Current illness

None

Medical history

Prediabetes, schizophrenia, erectile dysfunction

Other medications

NicoDerm, Nicorette, quetiapine, paliperidone er

Allergies

NKDA