Report #2871944

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: Male
Age: 10 yrs
State: MT
Recovered: Recovered
Vaccinated: Nov 1, 2025
Onset: Nov 1, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	NA4457	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	1	UT8861KA	IM / RA

Symptoms (4)

Injection site painOedema peripheralProduct administered to patient of inappropriate ageTenderness

Symptom narrative

A vaccine administration error occurred; patient received a vaccine approved for age 12 and older instead of the age-appropriate 5-11 y.o. vaccine. Patient reports experiencing a sore arm at the injection site and arm pit tenderness & swelling. Post-vaccination side effects were mild and resolved without need for intervention.

Allergies

NKDA