Report #2902894

Received Jul 8, 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: 84 yrs
State: WA
Recovered: Recovered
Vaccinated: Jul 6, 2026
Onset: Jul 6, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	3053238	IM / LA

Symptoms (2)

Expired product administeredUnderdose

Symptom narrative

Pediatric dose 0.25ml Expired given instead of the adult dose.

Current illness

N/A

Medical history

COPD,HTN

Other medications

Current Outpatient Medications: ? acetaminophen (TYLENOL) 500 mg tablet, Take 2 tablets by mouth Daily as needed for Pain., Disp: , Rfl: ? albuterol 90 mcg/puff inhaler, 2 puffs 30 minutes prior to exercise and q 4-6 hrs prn SOB., Disp:

Allergies

Penicillins Drug Class Dermatitis High 6/8/2010 Past Updates PENICILLIN Adhesive & Tape Drug Ingredient Rash Medium 6/24/2014 Past Updates Rash Tramadol Drug Ingredient Other (See Comments) Medium 9/5/2018 Past Updates SERATONIN SYNDROME = STROKE LIKE SYMPTOMS Venlafaxine Drug Ingredient GI Upset Medium 7/11/2018 Past Updates GI distress Gabapentin Drug Ingredient Other (See Comments) Not Specified 6/9/2023 Past Updates Suicidal thoughts

Lab data

N/A