Report #2830131

Received Mar 7, 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: Male
Age: 67 yrs
State: MD
Recovered: Recovered
Vaccinated: Mar 6, 2025
Onset: Mar 6, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	N/A	—	RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	N/A	—	IM / LA
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	N/A	—	IM / LA
TDAP	TDAP (ADACEL)	SANOFI PASTEUR	N/A	—	SYR / RA

Symptoms (1)

Wrong patient

Symptom narrative

This RN roomed a patient for PCP visit. Chart opened and confirmed birthday with patient. Patient advised due for 4 vaccinations, pt agreed to all 4. This RN went back into patient room, reopened chart and proceeded to give the 4 due vaccinations. Upon speaking to PCP, it was realized that vaccinations were given to incorrect patient. System showed patients being in incorrect rooms (i.e pt in room 27 actually in room 26). Patients also had same first name and same birth year. Patient notified by PCP, and had actually been due for 3 of 4 vaccinations.

Current illness

N/A

Medical history

HTN, Hypercholesteremia, Hyper Calcemic, Thyrois Gotter.

Other medications

Famotidine 40 mg Oral Tab, Tamsulosin 0.4 oral Cap, Losartan 25mg Oral tab, Chlorthalidone

Allergies

Amlodipine, Lipitor, Pravastatin

Lab data

No tests