Adverse Event Reporting

VAERS ID 2587854
Gender Male
Age 19
StateCode NV
Pharmaceutical Company PFIZER\BIONTECH
Lot Number FP7136
Number of vaccinations 1
Vaccinated 2023-02-18
Onset 2023-02-18

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations


Laboratory Data


The patient was administered the vaccine in the left deltoid.
The vaccinator documented that it was placed in the left bicep.
After speaking to the vaccinator, they described the correct administration location and that they had completed a documentation error.