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Report #2875975

Received Dec 2, 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
68 yrs
State
MO
Recovered
Unknown
Vaccinated
Dec 2, 2025
Onset
Dec 2, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUAD)SEQIRUS, INC.1407255IM / LA

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

Pt. written consent form requested covid and rsv, pt was administered covid and flu in error. entered, fulfilled, and administered in error. Pt has not called pharmacy with any adverse reaction, was first flu shot in lifetime.

Current illness

Lung Cancer - pt stated

Medical history

Lung Cancer - pt stated

Other medications

unknown

Allergies

unknown