Report #2904004

Received Jul 17, 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: 9 yrs
State: OR
Recovered: Unknown
Vaccinated: Jul 17, 2026
Onset: Jul 17, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	4	3053854	IM / LA

Symptoms (2)

Expired product administeredNo adverse event

Symptom narrative

An expired COVID-19 6mo-11yr vaccine was administered to the patient. To our knowledge, they had no adverse reaction afterward.

Current illness

None

Medical history

None

Other medications

None

Allergies

amoxicillin

Lab data

n/a