VAERS ID: 1464766

AGE: 15| SEX: F|STATE: IA (United States)

Description

no adverse reaction; just given (mistakenly) to an individual that was not 18 at time of vaccine

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

No adverse event, Product administered to patient of inappropriate age

Vaccines

VAX DATE: 07-07-2021| ONSET DATE: 07-07-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 0 COVID19 MODERNA 038C21A IM LA

RECVDATE:07-12-2021
RPT_DATE:
CAGE_YR:15
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:none
V_ADMINBY:PVT
OTHER_MEDS:diclofenac, pristiq
CUR_ILL:none
HISTORY:depression/anxiety
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:07-12-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:none
V_FUNDBY:

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OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.