Adverse Event Reporting
| VAERS ID | 924641 |
|---|---|
| Gender | Unknown |
| Age | 17 |
| StateCode | MI |
| Pharmaceutical Company | MODERNA |
| Lot Number | 037K20A |
| Number of vaccinations | 1 |
| Vaccinated | 2021-01-06 |
| Onset | 2021-01-06 |
| Condition | Recovered |
Symptoms
- Product administered to patient of inappropriate age
Current Illness
None
Preexisting Conditions
None known
Other Medications
unknown
Previous Vaccinations
Allergies
none
Laboratory Data
Write-up
Patient was under the age of 18 when she received the vaccine.