Report #2867134

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: Male
Age: 55 yrs
State: MA
Recovered: Recovered
Vaccinated: Sep 28, 2021
Onset: Sep 28, 2021
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU4	INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT)	GLAXOSMITHKLINE BIOLOGICALS	1	1234567	IM / UN

Symptoms (2)

NauseaVomiting

Symptom narrative

Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Additional Details: Patient stated he informed his doctor, but did not inform the pharmacist at the local store