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Report #2900473

Received Jun 17, 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
Female
Age
50 yrs
State
CA
Recovered
Unknown
Vaccinated
May 14, 2026
Onset
May 14, 2026
Days to onset
0
Hospital days

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
PNC21PNEUMO (CAPVAXIVE)MERCK & CO. INC.1Z013052IM / RA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS1H3729IM / LA

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

We are unaware of any side effects to patient. However, provider had ordered for patient to get Prevnar 20 and TDAP. MA administered Capvaxive 21 in error. Per review of patient, was eligible for either vaccine.

Medical history

Mild persistent asthma (HCC) Major depressive disorder, single episode, moderate (HCC) Allergic rhinitis GAD (generalized anxiety disorder) Hyperlipidemia Post traumatic stress disorder History of nephrectomy Encounter for screening for malignant neoplasm of cervix Cyst of left ovary

Other medications

albuterol HFA 90 mcg/actuation inhaler 2 Puff, inhalation, Every 4 hours PRN ALPRAZolam (XANAX) 0.5 mg tablet 0.5 mg, oral, Daily PRN escitalopram (LEXAPRO) 10 mg tablet 15 mg, oral, Daily estradiol (CLIMARA) 0.02

Allergies

Erythromycin-Nausea and Vomiting Penicillin G-Rash Phenobarbital-unknown