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Report #2863795

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
Female
Age
79 yrs
State
CA
Recovered
Recovered
Vaccinated
Sep 25, 2025
Onset
Sep 25, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLUA4INFLUENZA (SEASONAL) (FLUAD QUADRIVALENT)SEQIRUS, INC.1407243IM / LA

Symptoms (3)

Circumstance or information capable of leading to medication errorExposure via skin contactUnderdose

Symptom narrative

Systemic: no symptoms, additional syringe had to be used and first syringe was damaged out-Mild, Additional Details: pt moved as the plunger was being depressed, thus resulting in a partial dose of the flu vaccine. Liquid sprayed on the pt's arm/on the table, and another syringe was used to ensure the pt received a full dose. The additonal syringe had same lot#, and the first syringe was damaged out, Other Vaccines: VaccineTypeBrand: mnexspike covid-19; Manufacturer: moderna; LotNumber: 3052082; Route: left arm; BodySite: left arm; Dose: ; VaxDate: UNKNOWN

Allergies

none known