Report #2843106

Received May 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: 62 yrs
State: OR
Recovered: Unknown
Vaccinated: May 28, 2025
Onset: May 28, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	8081260	IM / LA

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

Patient received a second Covid19 vaccine instead of a second Shingrix vaccine. Patient was informed and will be contacting pharmacy if there are any adverse reaction.