Report #2878825

Received Dec 19, 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: Male
Age: 71 yrs
State: AZ
Recovered: Recovered
Vaccinated: Dec 19, 2025
Onset: Dec 19, 2025
Days to onset: 0
Hospital days: —

Vaccines (5)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	8146545	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	UNK	u8800aa	IM / RA
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	93yn2	IM / LA
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	UNK	z005718	IM / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	5n9l9	IM / LA

Symptoms (2)

Refusal of vaccinationWrong patient

Symptom narrative

Patient did not agree to and RN did not order MMR and Hep A vaccines, but volunteer inadvertently gave them to this patient, the wrong patient.

Current illness

unknown

Medical history

unknown

Other medications

unknown

Allergies

unknown