Report #2863938

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: 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
FLUR4	INFLUENZA (SEASONAL) (FLUBLOK QUADRIVALENT)	PROTEIN SCIENCES CORPORATION	1	u8864ba	IM / LA

Symptoms (2)

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

Symptom narrative

Systemic: pt moved away from needle, and needle-syringe came out of arm and vaccine liquid squirted all over arm-Mild, Additional Details: Pt was getting a flu shot and when the needle was inserted/plunger was initially being pushed, pt moved away from needle, which caused the needle/syringe to come out of pt's arm prematurely, causing one dose to be squirted on pt's arm, instead of injected. a 2nd dose (same lot/exp) was given, as pt received almost none of the liquid from the first dose, and the 2nd dose was injected successfully. A note was left on the first syringe, instructing pharmacy staff to damage it out.