Report #2852724

Received Aug 5, 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: 64 yrs
State: TN
Recovered: Unknown
Vaccinated: Mar 25, 2025
Onset: Mar 25, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
RSV	RSV (ABRYSVO)	PFIZER\WYETH	UNK	LH4511	UN / UN

Symptoms (1)

Device connection issue

Symptom narrative

Reported Symptoms: 10065066:DEVICE CONNECTION ISSUE; 10069868:DEVICE ISSUE; Narrative: LPN attempted to administer an RSV vaccine to a patient and in the reconstitution process of the vaccine kit, the luer locking section of the syringe fell off. LPN tried it a second time with another kit from the same box and lot number and it was defective as well. A third kit was obtained from a different box that had the same lot number and there was no issue with reconstituting the vial with that kit's syringe. The LPN had previous experience in reconstituting the kits. Other Relevant HX: Other: Equipment malfunction - leur lock broke