Adverse Event Reporting

VAERS ID 2584442
Gender Female
Age 21
StateCode OR
Pharmaceutical Company PFIZER\BIONTECH
Lot Number GJ3277
Number of vaccinations 1
Vaccinated 2023-02-17
Onset 2023-02-17
Condition Recovered
Symptoms

Current Illness

None

Preexisting Conditions

Heart murmur

Other Medications

Information not available

Previous Vaccinations

Allergies

No known drug allergies

Laboratory Data

None

Write-up

Patient was supposed to receive a first dose of the Pfizer COVID-19 vaccine primary series (monovalent), however, pharmacy staff inadvertently gave a dose of Pfizer Bivalent Booster vaccine.