Report #2858464

Received Sep 12, 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: Male
Age: 72 yrs
State: FL
Recovered: Recovered
Vaccinated: Sep 19, 2024
Onset: Sep 19, 2024
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	N/A	3042648	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUAD)	SEQIRUS, INC.	N/A	388459	IM / RA
RSV	RSV (AREXVY)	GLAXOSMITHKLINE BIOLOGICALS	N/A	52Z52	IM / LA

Symptoms (1)

Extra dose administered

Symptom narrative

DISCOVERED A YEAR LATER BY PHARMACY. UNABLE TO REACH PATIENT REGARDING DUPLICATE VACCINE.

Current illness

N/A

Medical history

N/A

Other medications

SPIKEVAX 2024, FLUAD 2024, AREXVY, TRELEGY ELLIPTA 100-62.5-25, LOSARTAN 100MG,

Allergies

NKA

Lab data

N/A