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Report #2873824

Received Nov 20, 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
65 yrs
State
WA
Recovered
Recovered
Vaccinated
Nov 6, 2025
Onset
Nov 6, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13052583IM / RA
FLU3INFLUENZA (SEASONAL) (AFLURIA)SEQIRUS, INC.1AX5812AIM / RA

Symptoms (1)

Wrong product administered

Symptom narrative

Given Afluria instead of adjuvanted Fluad as indicated by age of 65

Current illness

none

Medical history

REM sleep-behavior disorder, bradykinesia, rheumatoid arthritis, immunocompromised status, voice tremor, ductal carcinoma in situ of right breast, diverticulosis of colon, macular degeneration of left eye

Other medications

calcium carbonate, Refresh opthalmic solution, folic acid, ibuprofen, methotrexate, prednisone, sulfasalazine, primidone, propanolol

Allergies

NKDA

Lab data

n/a