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Report #2882963

Received Jan 23, 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
Female
Age
90 yrs
State
ND
Recovered
Recovered
Vaccinated
Dec 8, 2025
Onset
Dec 1, 2025
Days to onset
—
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK3052784IM / LA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

I gave her the child dose of the modern vaccine instead of the adult 12year plus