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Report #2861974

Received Sep 29, 2025

Hospitalized
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
93 yrs
State
NV
Recovered
Unknown
Vaccinated
Dec 5, 2022
Onset
Feb 4, 2023
Days to onset
61
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLUA4INFLUENZA (SEASONAL) (FLUAD QUADRIVALENT)SEQIRUS, INC.UNK352490IM / RA

Symptoms (9)

AstheniaFailure to thriveFallMalaiseNauseaPneumoniaSkin lacerationUrinary tract infectionVomiting

Symptom narrative

Reported Symptoms: 10047862:WEAKNESS; Narrative: Patient had felt sick and weak since received both COVID and influenza vaccine 17 days prior to presenting to E.D. Was hospitalized for pneumonia, uti, failure to thrive, generalized weakness, nausea/vomiting, fall with skin tear, possible nasal malignancy. Other Relevant HX: WEAKNESS (2/4/23@09:08)