Report #2830274

Received Mar 8, 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: 61 yrs
State: MO
Recovered: Not recovered
Vaccinated: Feb 25, 2025
Onset: Feb 25, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	4	3044202	IM / RA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Patient was supposed to receive mResvia, RSV vaccine, but the pharmacist administered Spikevax instead. Pharmacist mistakenly pulled 2 vaccines from the Spikevax box in the freezer instead of the mRsevia. Corrective action has been taken to label bins and separate the vaccines. Both boxes are white and say Moderna. The syringes are the same size and the small font does not aid in identification. This error was also reported to ISMP. The error was discovered one week later after the vaccine inventory count. Patients reported no AE.

Current illness

none

Medical history

none

Allergies

penicillin, dairy

Lab data

None