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Report #2860795

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
64 yrs
State
CA
Recovered
Unknown
Vaccinated
Aug 26, 2025
Onset
Aug 26, 2025
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)SANOFI PASTEURN/AU8800CAIM / LA
RSVRSV (AREXVY)GLAXOSMITHKLINE BIOLOGICALSN/A9BE5HIM / LA
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALS12HJ99IM / RA

Symptoms (1)

Unevaluable event

Symptom narrative

NA

Current illness

NA

Medical history

HTN, BPH, Hyperlipidemia

Other medications

Aspirin 81mg

Allergies

Penicillin& Spetra

Lab data

NA