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Report #2864002

Received Oct 7, 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
12 yrs
State
MI
Recovered
Recovered
Vaccinated
Sep 9, 2025
Onset
Oct 2, 2025
Days to onset
23
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR1U8767AA—
FLU3INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR2UT8770NA—

Symptoms (1)

Extra dose administered

Symptom narrative

Patient was given two doses of Fluzone about a month apart due to oversight.

Current illness

NA

Medical history

Autism, ADHD

Other medications

Flonase, Catapres

Allergies

Sunflower seeds, cat dander, tree nuts

Lab data

N/A