Adverse Event Reporting

VAERS ID 2547892
Gender Female
Age 26
StateCode NY
Pharmaceutical Company MODERNA
Lot Number 046H22A
Number of vaccinations 1
Vaccinated 2022-12-27
Onset 2022-12-27
Condition
Symptoms
  • Incorrect product formulation administered

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

Error: Wrong Vaccine Formulation (ex.
Prevnar 13 v.
Prevnar 23)-