Report #2887569

Received Mar 3, 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: 75 yrs
State: AL
Recovered: Recovered
Vaccinated: Mar 2, 2026
Onset: Mar 2, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	3	3053253	IM / LA

Symptoms (2)

No adverse eventProduct administered to patient of inappropriate age

Symptom narrative

patient received vaccine approved for children aged 6 months through 11 years instead of the one approved for 12 years and older. No reported side effects

Current illness

none

Medical history

none

Other medications

multivitamin, meclizine 25 mg

Allergies

none

Lab data

none