Report #2880711

Received Jan 5, 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: Unknown
Age: 20 yrs
State: OH
Recovered: Unknown
Vaccinated: Oct 13, 2025
Onset: —
Days to onset: —
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052859	IM / AR
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	UNK	U78779NA	AR
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	9t49s	AR

Symptoms (1)

Underdose

Symptom narrative

Pt was given pediatric dose instead of adult dose. Order was incorrectly put into medical record. Pt was notified and advised to get revaccinated.

Other medications

None

Allergies

None

Lab data

none