VAERS ID: 907882

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

Description

THERE WAS NO ADVERSE EVENT. We realized after administration that we had inadvertently given the vaccine to a 15 year old girl. She is not having any symptoms or problems. We have been monitoring her and encouraged her to speak with us if she has any issues at all.

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(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: 12-21-2020| ONSET DATE: 12-21-2020| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA 011J20A IM LA

RECVDATE:12-23-2020
RPT_DATE:
CAGE_YR:15
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:Sertraline, Metformin ER, Tri-Linyah
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:12-23-2020
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
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.