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Report #2866649

Received Oct 17, 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
69 yrs
State
KS
Recovered
Unknown
Vaccinated
Oct 14, 2025
Onset
Oct 1, 2025
Days to onset
—
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH1MY9548IM / LA

Symptoms (1)

Wrong product administered

Symptom narrative

Patient actually wanted a Moderna shot and Pfizer was given.