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Report #2856856

Received Sep 4, 2025

ER / ED visitOffice visit
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
Male
Age
4 yrs
State
NY
Recovered
Recovered
Vaccinated
Sep 3, 2025
Onset
Sep 3, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUCELVAX)SEQIRUS, INC.1406989IM / LA
FLU3INFLUENZA (SEASONAL) (FLUCELVAX)SEQIRUS, INC.1406989IM / RA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

No symptoms 30 mins after administration, patient was monitored.

Current illness

Child with Scimitar syndrome, persistent asthma and feeding by gastric tube

Medical history

Scimitar syndrome, persistent asthma and feeding by gastric tube

Other medications

None

Allergies

No allergy

Lab data

None