Report #2830984

Received Mar 12, 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: 78 yrs
State: PA
Recovered: Unknown
Vaccinated: Nov 8, 2024
Onset: Nov 8, 2024
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3043335	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	UNK	UT8419CA	IM / LA
RSV	RSV (ABRYSVO)	PFIZER\WYETH	UNK	LN5482	IM / LA
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	445TK	IM / RA

Symptoms (1)

Expired product administered

Symptom narrative

This was a vaccine administration error. The patient did not report any adverse effects. The dose of Shingrix administered 11/8/2024 was the patient's 3rd dose of Shingrix. The series was completed by the facility, who did not report administered vaccines to the Immunization Electronic Registry System at the time of this error.