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Report #2898965

Received Jun 4, 2026

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
61 yrs
State
TN
Recovered
Recovered
Vaccinated
May 28, 2026
Onset
May 28, 2026
Days to onset
0
Hospital days

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
PNC21PNEUMO (CAPVAXIVE)MERCK & CO. INC.1Z016259IM / LA

Symptoms (1)

Wrong product administered

Symptom narrative

Pt given Capvaxive when prevnar 20 was ordered

Current illness

NA

Medical history

Asthma, prediabetes, diastolic dysfunction

Other medications

albuterol sulfate HFA 90 mcg/actuation aerosol inhaler, theophylline ER 300 mg tablet,extended release,12 hr

Allergies

Influenza vaccine