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Report #2880847

Received Jan 6, 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
43 yrs
State
OR
Recovered
Unknown
Vaccinated
Jan 6, 2026
Onset
Jan 1, 2026
Days to onset
—
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK3052859IM / LA

Symptoms (1)

Incorrect dose administered

Symptom narrative

Wrong dose given to pt gave kid dose instead of adult

Current illness

none

Medical history

Type 2 diabetes

Other medications

N/A

Allergies

none