Report #2834129

Received Apr 3, 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: 76 yrs
State: CA
Recovered: Unknown
Vaccinated: Apr 2, 2025
Onset: Apr 2, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
RSV	RSV (ABRYSVO)	PFIZER\WYETH	N/A	LG9829	IM / LA

Symptoms (4)

Device connection issueNeedle issueSoft tissue foreign bodySyringe issue

Symptom narrative

Syringe mal function, when injecting vaccine an unknow amount of RSV substance was injected into patient left arm, and an unknow amount fell out of syringe, when retrieving syringe from patient arm the needle came apart from syringe and had to remove needle by hand from patient arm. Patient, Dr., and and RN lead were notified incident. Patient was stable and was informed of receiving information in a few days of what should be the next steps in this incident. Patient verbalized understanding.

Current illness

n/a

Medical history

DM2, HTN

Other medications

n/a

Allergies

Nsaids

Lab data

n/a