Report #2902896

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: Male
Age: 79 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

received pediatric 0.25ml expired dose instead of adult dose.

Current illness

none

Medical history

A Fib, acid reflux

Other medications

Current Outpatient Medications: ? acetaminophen (TYLENOL) 500 mg tablet, Take 2 tablets by mouth every 6 hours as needed for Pain., Disp: , Rfl: ? apixaban (ELIQUIS) 5 mg tablet, Take 1 tablet by mouth 2 times daily., Disp: 120 tablet,

Allergies

Allergies Digoxin Drug Ingredient Other (See Comments) Medium 3/25/2016 Past Updates Fatigue and bradycardia Adverse Reactions/Drug Intolerances Isosorbide Nitrate Drug Ingredient Other (See Comments) Medium Contraindication 4/28/2016 Past Updates Allergy per patient

Lab data

N/A