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Report #2860772

Received Sep 23, 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
82 yrs
State
OR
Recovered
Recovered
Vaccinated
Sep 10, 2025
Onset
Sep 22, 2025
Days to onset
12
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUAD)SEQIRUS, INC.UNK407248IM / LA

Symptoms (1)

Extra dose administered

Symptom narrative

Clinic has visited the Senior Loving on 9/10/2025 for an influenza vaccine clinic. Patient received influenza vaccination that was not documented properly in Alert. PCP Clinic and acting Local Public Health Authority went to Senior Living on 9/22/2025 to administer 2025 Fall Respiratory Vaccines - A staff persona stated patient may have received his influenza vaccination at the previous event held by Clinic. All actions were paused, staff called over to clinic to verify status of vaccination and was told that he received no vaccines via their on site clinic. The morning of 9/23/2025 clinic staff reached out to MA Manager, "Hey I heard there was some confusion regarding patient and the flu vaccine. I missed him on the list that staff did on 9/10. I just got his stuff entered into computer system so it should show on your end. I apologize for that, I didn't see him at the bottom of my list". The adverse event is that Patient received the influenza x2. One dose on 9/10/2025 and another dose on 9/22/2025.

Medical history

Dementia, Diastolic Function, HTN, Glaucoma, PSTD, Pulmonary nodule,

Other medications

Tylenol , Adults plus 50 Multi Vitamin, Amlodipine, Atorvastatin, Calcium Carbonate, Vitamin B-12, Daily Fiber, Losartan, Melatonin, Preservision AREDS

Allergies

KNDA