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Report #2858220

Received Sep 11, 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
80 yrs
State
WY
Recovered
Unknown
Vaccinated
Sep 4, 2025
Onset
Sep 4, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH1NA0587—

Symptoms (3)

Device leakageSyringe issueUnderdose

Symptom narrative

Hub of Comirnaty single dose syringe broke and vaccine leaked out as vaccine was provided; Hub of Comirnaty single dose syringe broke and vaccine leaked out as vaccine was provided; Hub of Comirnaty single dose syringe broke and vaccine leaked out as vaccine was provided; This is a spontaneous report received from a Pharmacist. An 80-year-old male patient received BNT162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 04Sep2025 as dose 1, single (Lot number: NA0587) at the age of 80 years for covid-19 immunisation, Device Lot Number: NA0587. The patient had no relevant medical history. The patient's concomitant medications were not reported. The following information was reported: UNDERDOSE (non-serious), DEVICE LEAKAGE (non-serious), SYRINGE ISSUE (non-serious) all with onset 04Sep2025 and all described as "Hub of Comirnaty single dose syringe broke and vaccine leaked out as vaccine was provided". Therapeutic measures were not taken as a result of underdose, device leakage, syringe issue. Causality for "hub of comirnaty single dose syringe broke and vaccine leaked out as vaccine was provided" was determined associated to device constituent of BNT162b2 omi xbb.1.5 (malfunction). Additional information: the patient did not receive any other vaccine within 4 weeks prior to BNT162b2 omi xbb.1.

Medical history

Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None