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Report #2874045

Received Nov 21, 2025

Office visit
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
9 yrs
State
GA
Recovered
Unknown
Vaccinated
Nov 14, 2025
Onset
Nov 14, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUAD)SEQIRUS, INC.1407280IM / RA

Symptoms (2)

Product administered to patient of inappropriate ageWrong product administered

Symptom narrative

Shot that was supposed to be given was the Private Flucelvax. Shot given was Fluad for pt 65 and old. Shot was given in right arm.

Current illness

None

Medical history

None

Other medications

Cotempla XR-ODT 8.6 MG Tablet Extended Release Disintegrating

Allergies

None