Report #2869380

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: 46 yrs
State: PA
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	1	3052669	IM / LA

Symptoms (1)

Wrong product administered

Symptom narrative

pt says they received spikevax instead of mnextspike without their consent

Current illness

none

Medical history

Arthritis, Diabetes

Other medications

none

Allergies

penicillin, sulfamethazine

Lab data

none