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Report #2858526

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
Female
Age
69 yrs
State
CA
Recovered
Unknown
Vaccinated
Sep 12, 2025
Onset
Sep 12, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)SANOFI PASTEURN/AU8830AAIM / LA

Symptoms (1)

Unevaluable event

Symptom narrative

NONE

Medical history

GERD (GASTROESOPHAGEAL REFLUX DISEASE) HX OF BILAT TOTAL HIP ARTHROPLASTY PREDIABETES EYE CARE MONITORING PROGRAM, GLAUCOMA SUSPECT OBESITY, BMI 33-33.9, ADULT

Other medications

Mupirocin (CENTANY) 2 % Top Oint Apply to affected area(s) 2 times a day for 10 daysPatient not taking: Reported on 9/12/2025 Amoxicillin 500 mg Oral Cap Take 4 capsules by mouth 1 hour prior to appointment metFORMIN (GLUCOPHAGE XR) 750 mg

Allergies

Anesthetic