Report #2867640

Received Oct 22, 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: 67 yrs
State: LA
Recovered: Unknown
Vaccinated: Oct 22, 2025
Onset: Oct 22, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	4	3052669	IM / LA

Symptoms (1)

Wrong product administered

Symptom narrative

patient requested flu vaccine, but accidently given covid vaccine. spikevax

Current illness

Medical history

scarring on lungs

Other medications

metformin, hctz, atorvastatin, nebivolol, clonidine, spriva. vita c, d3, omega3 zinc

Allergies

none