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Report #2870442

Received Nov 3, 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
37 yrs
State
ID
Recovered
Unknown
Vaccinated
Oct 31, 2025
Onset
Oct 31, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUAD)SEQIRUS, INC.UNK40728IM / RA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

I reached into the immunization fridge and took out from the left box thinking that was the normal dose. I handed to [withheld name] MA who I was supervising and she filled out on database immunization. She did not verify lot number and I did not notice her error. Was not until end of day count that mistake was realized.

Current illness

NA

Medical history

Diabetes Type 2, Hypertension

Other medications

Atorvastatin Metformin Farxiga Glipizide Lisinopril

Allergies

No known allergies

Lab data

NA