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Report #2873114

Received Nov 17, 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
56 yrs
State
SC
Recovered
Recovered
Vaccinated
Oct 8, 2025
Onset
Oct 8, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUAD)SEQIRUS, INC.1407244IM / RA

Symptoms (3)

No adverse eventProduct administered to patient of inappropriate ageWrong product administered

Symptom narrative

Patient came into the office on this day, and she requested and Flu vaccine. This MA gave the wrong vaccine (Fluad High dose) No reverse action was view while in the clinic.

Medical history

Bipolar, Depression, Hyperlipidema, Type 2 diabetes, bariatric surgery, Gerd, Hypokalemia, anemia, Systemic mast cell disease, Osteoarthritis, Margrains, Asthma, COPD, Lupus, edema,

Other medications

Albuterol, Alprazolam, Bumetanide, vit D,, Eliquis, Iron, Metformin, Hydroxyzine, Lybalvi, Zofran, Ozempic, Potassium, Quetiapine, rosuvastatin, Stiolto, Sucralfate, Trelegy, venlafaxine,

Allergies

Divalproex, Hydrocodone acetaminophen, Hydromorphone, Meperidine,Promethazine

Lab data

NA