Report #2828489

Received Feb 26, 2025

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Female
Age: 64 yrs
State: WI
Recovered: Unknown
Vaccinated: Feb 26, 2025
Onset: Feb 26, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	UNK	—	IM / LA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

Patient came in for an influenza vaccine and had a caregiver that filled out the Vaccine Administration Record form. In the Date of Birth section they wrote the correct DOB of 8/XX/60, but in the Age section they wrote 65. The high dose influenza vaccine was run through the system due to the error on the form. Patient was then administered the high dose flu shot. The DOB/age discrepancy was noted shortly after patient and caregiver left. Caregiver was contacted and made aware of the situation and what to monitor concerning potential side effects. Staff was educated on error prevention.