Report #2862681

Received Oct 2, 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: 82 yrs
State: FL
Recovered: Unknown
Vaccinated: Sep 30, 2025
Onset: —
Days to onset: —
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052583	IM / LA

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

For Reference Couple A is identified Couple B is identified Narrative: Couple A came arrived at pharmacy for Shingles vaccination. Couple B came to pharmacy for COVID vaccination. Couple B arrived first and their vaccines were made to be prepared. After completion steps in the immunization portal and database, the assigned immunizer grabbed the vaccines. She exited the pharmacy and loudly called for the names of Couple B. However, after doing so, Couple A rogered up to the call. Immunizer proceeded to vaccinate Couple A with the vaccines for Couple B. No adverse events/side effects to report.

Current illness

NONE

Medical history

NONE

Other medications

NONE

Allergies

NONE

Lab data

None