Report #2867013

Received Oct 20, 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: 84 yrs
State: CA
Recovered: Recovered
Vaccinated: Oct 10, 2025
Onset: Oct 10, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLUA4	INFLUENZA (SEASONAL) (FLUAD QUADRIVALENT)	SEQIRUS, INC.	1	407264	IM / LA

Symptoms (4)

FatigueLethargyPruritusRash

Symptom narrative

Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash Generalized-Mild, Systemic: Exhaustion / Lethargy-Mild