Report #2868584

Received Nov 10, 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: 58 yrs
State: NC
Recovered: Unknown
Vaccinated: Mar 8, 2025
Onset: Oct 22, 2025
Days to onset: 228
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	ln0591	IM / LA
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	LN0591	IM / LA

Symptoms (3)

No adverse eventRefusal of vaccinationWrong product administered

Symptom narrative

Patient states she received Pfizer Covid Vaccine instead of the Influenza vaccine she requested. Adverse reactions currently not reported, but patient has Factor V Leiden which affects patients blood clotting disorders.

Medical history

Factor V Leiden-Increases risk of blood clots, VTE, PE