Report #2879379

Received Dec 23, 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: 18 yrs
State: AZ
Recovered: Recovered
Vaccinated: Nov 21, 2025
Onset: Dec 1, 2025
Days to onset: 10
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUBLOK)	SANOFI PASTEUR	1	U8923AA	IM / LA

Symptoms (1)

Wrong product administered

Symptom narrative

PATIENT REQUESTED FOR COVID (COMIRNATY) VACCINE, BUT WE GAVE HER THE FLU (FLUBLOK) VACCINE. PATIENT WAS NEEDING IT FOR WORK SO GOT THE VACCINE ON 11/21/25 AND CAME BACK ON 12/23/25 TO GET THE RECORDS. WE COULDN'T FIND THE RECORDS FOR COVID VACCINE AND WHEN WE LOOKED AT THE FLU VACCINE CONSENT FORM IT WAS SUPPOSED TO BE FOR COVID VACCINE.

Current illness

N/A

Medical history

N/A

Other medications

CONCERTA, TRAZODONE,

Allergies

NKDA

Lab data

N/A