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Report #2851039

Received Jul 24, 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
Female
Age
77 yrs
State
PA
Recovered
Recovered
Vaccinated
Jul 24, 2025
Onset
Jul 24, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
IPVPOLIO VIRUS, INACT. (IPOL)SANOFI PASTEUR1y1a212mLA

Symptoms (1)

Extra dose administered

Symptom narrative

Patient presented to the pharmacy verbally requesting a polio vaccine. Patient completed a vaccine consent form for the vaccine. Pharmacist verified polio vaccine (IPOL) in pharmacy system. Patient was checked out at pharmacy register for IPOL vaccine. At the pharmacy register patient verbally confirmed that she was to receive the polio vaccine. Patient was asked to step into the Pharmacy's vaccine administration area. At this time Pharmacist confirmed patient name and date of birth. Patient's consent form stated she was interested in receiving "Prolio". Pharmacist verbally confirmed with the patient that she was to receive the polio vaccine, and patient confirmed. Patient asked if the polio vaccine was for bones. Pharmacist stated that the polio vaccine was used to prevent polio. Patient mentioned that she believed the vaccine was to be administered in the abdomen. Pharmacist stated that the vaccine prepared, inactivated polio vaccine (IPOL), was to be administered intramuscularly in the deltoid muscle. Patient consented to the administration. Vaccine was administered intramuscularly in patient's left deltoid muscle. After administration, patient returned to the pharmacy stating she believed she received the wrong injection. After further questioning, patient was interested in Prolia injection. Patient was informed that she had received and polio vaccine and not a Prolia injection and to contact her physician for a Prolia prescription. Patient reported no other symptoms or side effects at this time.

Current illness

Unknown

Medical history

Unknown

Other medications

Unknown

Allergies

NKDA

Lab data

n/a