Report #2869404

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: Female
Age: 78 yrs
State: OH
Recovered: Unknown
Vaccinated: Oct 3, 2025
Onset: Oct 1, 2025
Days to onset: —
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	N/A	P327D	IM / LA
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	G2HA7	IM / LA

Symptoms (1)

Wrong product administered

Symptom narrative

Adult patient given Nirsevimab

Current illness

Pneumonia

Medical history

Malignant neoplasm of lower lobe of right lung, HTN, HLD, CAD, Stage 4 chronic kidney disease, back pain

Other medications

NIFEdipine ER 60 MG Tablet Extended Release 24 Hour 1 tablet on an empty stomach Orally Once a day Gabapentin 100 MG Capsule 1 capsule at bedtime Orally Once a day Vitamin D 25 MCG (1000 UT) Tablet 2 tablet Orally Once a day hydrALAZINE HCl

Allergies

NKDA