Report #2868162

Received Oct 24, 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: FL
Recovered: Unknown
Vaccinated: Oct 23, 2025
Onset: Oct 23, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	NA4452	IM / LA

Symptoms (1)

Wrong product administered

Symptom narrative

Patient's daughter signed him up to receive Non mRNA vaccine, but rx was mistyped and patient was given mRNA vaccine

Current illness

N/A

Medical history

N/A

Other medications

N/A

Allergies

N/A