Report #2850871

Received Jul 23, 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: 53 yrs
State: IA
Recovered: Recovered
Vaccinated: Oct 9, 2024
Onset: Oct 9, 2024
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUAD)	SEQIRUS, INC.	N/A	388471	IM / LA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

recipient was under 65yr, inadvertently rec'd Adjuvanted flu vaccine. Patient selected wrong form. Certified Pharm Tech/Vaccinator administered shot without noticing age <65yr.

Current illness

none known

Medical history

none known

Other medications

none known

Allergies

none known

Lab data

none