Report #2880470

Received Jan 2, 2026

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: 13 yrs
State: NC
Recovered: Recovered
Vaccinated: Jan 2, 2026
Onset: Jan 2, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3053238	IM / LA

Symptoms (2)

No adverse eventUnderdose

Symptom narrative

Patient was given the 6m-11y dose of the COVID-19 vaccine, despite being 13 years old. He should have received the 12+ COVID-19 vaccine. He did not experience any adverse reactions to the vaccine given. No fever, no trouble breathing, no pain at injection site, no swelling, no rash, no redness, no anaphylaxis.

Current illness

N/A

Allergies

NKA

Lab data

none