Report #2833778

Received Mar 30, 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: 69 yrs
State: VA
Recovered: Unknown
Vaccinated: Mar 28, 2025
Onset: Mar 28, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	N/A	lm2045	IM / LA

Symptoms (2)

Expired product administeredWrong product administered

Symptom narrative

Patient received incorrect vaccine. Pfizer BiotNtech for children 5yo-11yo and vaccine was expired 12/16/2024

Current illness

None.

Other medications

Atorvastatin 10mg po qday

Allergies

None.

Lab data

None