Adverse Event Reporting

VAERS ID 2584874
Gender Male
Age 85
StateCode CA
Pharmaceutical Company PFIZER\BIONTECH
Lot Number FP7136
Number of vaccinations 4
Vaccinated 2023-02-18
Onset 2023-02-18
Condition Recovered
Symptoms

Current Illness

unknown

Preexisting Conditions

Htn, hyperlipidemia, GErd, Migraine, ckd stage 3, inflammatory polyarthritis, chronic low back pain, right carpal tunnel syndrome, urinary retention

Other Medications

unknown

Previous Vaccinations

Allergies

simvastatin

Laboratory Data

N/A

Write-up

Patient received monovalent Pfizer vaccine when patient should have received Bivalent pfizer vaccine.
patient was unharmed, no symptoms of reaction.
Patient will return in 8 weeks to receive bivalent dose