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Report #2902896

Received Jul 8, 2026

Reports are unverified and do not show that a vaccine caused an event. 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)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA23053238IM / 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