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Report #2861803

Received Sep 26, 2025

Office visit
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
76 yrs
State
NV
Recovered
Recovered
Vaccinated
Sep 25, 2025
Onset
Sep 25, 2025
Days to onset
0
Hospital days
—

Vaccines (4)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH1——
FLU3INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)SANOFI PASTEURUNKu8837baIM
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSUNK——
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALSUNK——

Symptoms (3)

Eye swellingLip swellingPharyngeal swelling

Symptom narrative

While driving home, his lips throat and eyes swelled. He administered his last epipen dose. He is now okay.

Allergies

Allergy to eggs, however received the same Fluzone HD 65+ 2024/2025 on 3/9/25.