Report #2869378

Received Oct 29, 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: 22 yrs
State: CA
Recovered: Recovered
Vaccinated: Oct 6, 2025
Onset: Oct 6, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	my9548	IM / LA

Symptoms (1)

Product storage error

Symptom narrative

Vaccine had been frozen, then defrosted. Medical director, stated per the CDC we should give a new vaccine to ensure advocacy of the vaccine to make sure the patient is vaccinated. The patient mom stated she will bring the pateint back in at his next appt to be re vaccinated.

Medical history

Class 3 obesity, asthma, osa, anisometropia, constipation, vasomotro rhinitis,

Other medications

Nystatin, promethazine, chlorhexidine, loratidine, budesonide, clotrimazole

Allergies

Latex, talc

Lab data

N/A