Adverse Event Reporting

VAERS ID 933263
Gender Unknown
Age
StateCode AZ
Pharmaceutical Company MODERNA
Lot Number 011J20A
Number of vaccinations 1
Vaccinated 2020-12-24
Onset 2020-12-24
Condition
Symptoms
  • Incorrect dose administered

Current Illness

Preexisting Conditions

Medical History/Concurrent Conditions: No adverse event

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

patient received half of dose from vaccine due to making movement; A spontaneous report was received from a physician concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced incorrect dose administered.
The patient's medical history was not provided.
No relevant concomitant medications were reported.
On 24 Dec 2020, the patient received their first of two planned doses of mRNA-1273 (Lot number: 011j20a)intramuscularly for prophylaxis of COVID-19 infection.
On 24 Dec 2020, during vaccine administration, the patient experienced incorrect dose administered.
The physician reported the patient moved while being given the vaccine and about half of the dose was injected and the other half was not.
Treatment information was not provided.
Action taken with mRNA-1273 in response to the event was not reported.
The event, incorrect dose administered, was considered resolved on 24 Dec 2020.
; Reporter's Comments: This case concerns a patient who received their first of two planned doses of mRNA-1273 (Lot 011j20A), reporting Incorrect dosage administered without any associated adverse events.