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Report #2860654

Received Sep 22, 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
0.1 yrs
State
CA
Recovered
Unknown
Vaccinated
Sep 20, 2025
Onset
Sep 20, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)SANOFI PASTEUR1U8830AAIM / RA

Symptoms (2)

Incorrect dose administeredNo adverse event

Symptom narrative

Fluzone High-Dose single dose for 65 years & Up was administered to patient who is 62 years old. No adverse reactions noted.

Current illness

None reported

Medical history

HYPERLIPIDEMIA OBESITY, BMI 30-34.9, ADULT LEG EDEMA SINUS BRADYCARDIA VARICOSE VEINS OF BILAT LEGS BILAT CARPAL TUNNEL SYNDROME

Other medications

None on file

Allergies

No known allergies

Lab data

N/A