Report #2838323

Received Apr 28, 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: 40 yrs
State: WI
Recovered: Unknown
Vaccinated: Apr 28, 2025
Onset: Apr 28, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3046731	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	UNK	U8523CA	IM / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	PG3RP	IM / LA

Symptoms (1)

Extra dose administered

Symptom narrative

Patient received duplicate vaccines. Patient received Tdap, flu, and covid 11/19/24. Patient didn't state he had these and it wasn't pulling up in system right away. After vaccines were given 04/28/25, nurse went to document and noticed vaccines needed to be reconciled. Then it was updated in system and showed patient had the same vaccines 11/19/24. Patient was called and informed of the situation.