Adverse Event Reporting

VAERS ID 2311699
Gender Male
Age 17
StateCode CA
Pharmaceutical Company MODERNA
Lot Number 038A22A
Number of vaccinations 3
Vaccinated 2022-06-04
Onset
Condition Recovered
Symptoms
  • No adverse event
  • Product administered to patient of inappropriate age

Current Illness

Unknown

Preexisting Conditions

None

Other Medications

None

Previous Vaccinations

Allergies

Unknown

Laboratory Data

None

Write-up

There were no, adverse events.
Patient who is a minor (17yrs and 1month old) recieved a Moderna booster vaccine.