Report #2862846

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: Female
Age: 63 yrs
State: CA
Recovered: Recovered
Vaccinated: Oct 2, 2025
Onset: Oct 2, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (NOVAVAX))	NOVAVAX	N/A	6315MF001C	IM / LA

Symptoms (1)

Wrong product administered

Symptom narrative

GAVE WRONG VACCINE - PT WANTED MADERNA

Current illness

NONE

Medical history

NONE

Other medications

NOT KNOWN

Allergies

NONE

Lab data

N/A