Report #2856342

Received Sep 1, 2025

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: 87 yrs
State: TX
Recovered: Unknown
Vaccinated: Aug 21, 2025
Onset: Aug 21, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU4	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT)	SANOFI PASTEUR	1	ut8157ba	IM / LA

Symptoms (2)

Injection site pruritusRash

Symptom narrative

Site: Itching at Injection Site-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Other Vaccines: VaccineTypeBrand: boostrix; Manufacturer: ; LotNumber: 37f34; Route: intramuscular; BodySite: right arm; Dose: 1; VaxDate: 08/21/2025, VaccineTypeBrand: capvaxive; Manufacturer: ; LotNumber: z003579; Route: intramuscular; BodySite: left arm; Dose: 1; VaxDate: 08/21/2025