Report #2872535

Received Nov 13, 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: 38 yrs
State: TX
Recovered: Unknown
Vaccinated: Nov 13, 2025
Onset: Nov 13, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUBLOK)	SANOFI PASTEUR	N/A	U8832DA	IM / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	N/A	5N9L9	IM / LA

Symptoms (3)

Circumstance or information capable of leading to medication errorExposure during pregnancyWrong product administered

Symptom narrative

PT CAME IN TO GET TDAP, TECHNICIAN TYPED UP FLUBLOK, UPON IDENTIFYING PATIENT AND CONFIRMING, HER 3 KIDS WERE CRYING, CLIMBING ON TOP OF FURNITURE/RISK FOR FALL, RUNNING IN SHOT ROOM, PT WAS PREGNANT AND COULD NOT ANSWER QUESTIONS DUE TO KIDS DISTRACTING, TOLD HER I WAS GIVING THE VACCINE THAT WAS NOT MADE FROM EGGS, SAFE TO GIVE FOR HIVES, MADE FOR THOSE WHO HAVE SENSITIVIES FROM REGULAR SHOT, GAVE FLUBLOK. AFTER LEAVING THE SHOT ROOM, SHE NOTICED HER RECEIPT AND SAW FLUBLOK THEN SAID SHE ACTUALLY WANTED TETANUS. TECH NOTICED HIS ERROR AND WHEN I SAID WHEN I COUNSELED HER ABOUT FLUBLOK, SHE SAID SHE DIDN'T HEAR DUE TO HER KIDS THAT I WAS GIVING THAT TO HER. I APOLOGIZED AND GAVE HER BOOSTRIX IN HER OTHER ARM AND TOLD HER I'D REPORT BUT TO STILL CALL ME IF SHE DOES BREAK OUT INTO HIVES OR ANY OTHER REACTION TO CALL ME SO I CAN REPORT AGAIN.

Current illness

UNKNOWN

Medical history

NONE LISTED

Other medications

UNKNOWN

Allergies

FLU VACCINE PRODUCED FROM EGGS

Prior vaccinations

STATES BREAKS OUT INTO HIVES W/REGULAR FLU VACCINE