Report #2869583

Received Oct 30, 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: WI
Recovered: Unknown
Vaccinated: Oct 30, 2025
Onset: Oct 30, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
RSV	RSV (AREXVY)	GLAXOSMITHKLINE BIOLOGICALS	1	K73J3	IM / RA

Symptoms (2)

Product administered to patient of inappropriate ageWrong product administered

Symptom narrative

Wrong vaccine given-was supposed to receive Capvaxive. No treatment given. Patient made aware of the error and potential side effects. Does not have previous medical risk factors to receive at 58 years old. Provider made aware of error.

Current illness

None

Medical history

Hypertension, obesity, anxiety

Other medications

Lisionpril, Semaglutide, vitamin D, elidel external cream

Allergies

No known allergies