Report #2863687

Received Oct 7, 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: 83 yrs
State: CA
Recovered: Recovered
Vaccinated: Sep 17, 2025
Onset: Sep 17, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	na0738	IM / LA

Symptoms (2)

Injection site painWrong product administered

Symptom narrative

Site: Pain at Injection Site-Mild, Systemic: wrong vaccine was given-Mild, Additional Details: Patient wanted moderna vaccine but was givenpfizer vaccine. upset

Allergies

none