Report #2864251

Received Oct 8, 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: Female
Age: 102 yrs
State: CA
Recovered: Unknown
Vaccinated: Oct 7, 2025
Onset: Oct 1, 2025
Days to onset: —
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	NA0587	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	N/A	U8883AA	IM / LA

Symptoms (1)

Extra dose administered

Symptom narrative

PATIENT WAS GIVEN 2 DOSES OF FLUZONE. FIRST ADMINISTRATION DOSE (LOT # U8827AA) + DATE ON 9/18/25. SECOND DOSE OF FLUZONE GIVEN ON 10/7/25