Report #2871764

Received Nov 10, 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: 57 yrs
State: PA
Recovered: Unknown
Vaccinated: Oct 31, 2025
Onset: Oct 31, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLUC4	INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)	SEQIRUS, INC.	1	407010	IM / LA

Symptoms (4)

AstheniaInjection site erythemaSyringe issueUnderdose

Symptom narrative

Site: Redness at Injection Site-Mild, Systemic: none-Mild, Systemic: Weakness-Mild, Additional Details: Pt stated that prefilled glass broke while vaccine was injected into left arm . Her blood entered into the vial mixed with clear liquid . Pt concerned that the full dose was not administered . Pt was contacted and District leader informed .The store it occurred at was [information withheld]. NO symptoms occurred per pt > Pt will contact MD to consult ., Other Vaccines: VaccineTypeBrand: flucelvax; Manufacturer: Seqirus; LotNumber: 407010; Route: IM; BodySite: L arm; Dose: ; VaxDate: UNKNOWN