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Report #2898965

Received Jun 4, 2026

Reports are unverified and do not show that a vaccine caused an event. 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