Adverse Event Reporting

VAERS ID 1913634
Gender Female
Age 16
StateCode
Pharmaceutical Company MODERNA
Lot Number 939904
Number of vaccinations 1
Vaccinated 2021-11-17
Onset 2021-11-17
Condition
Symptoms
  • Product administered to patient of inappropriate age

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

Pt does not meet age requirement for Moderna vaccine.
She should have received the Adult Pfizer.