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Report #2868168

Received Oct 24, 2025

Office visit
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
MI
Recovered
Recovered
Vaccinated
Oct 22, 2025
Onset
Oct 22, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH6MY9548IM / RA
FLU3INFLUENZA (SEASONAL) (FLUAD)SEQIRUS, INC.1407265IM / LA

Symptoms (1)

Extra dose administered

Symptom narrative

Patient's family was asked at appt if she would like a Covid and Flu vaccine, they agreed. Her chart was checked prior because we receive updates directly from immune registry. It did not show that she was given these vaccines for 2025-2026 season. Received both vaccines. Received a call after stating that she received both of these on 10/16/25 at clinic. Checked her chart and it was updated with the vaccines from 10/16/25. Discussed with our software person and they ran an audit and there was a 10 min lag from where the vaccines where given to when the vaccines from immune registry were added to her chart.

Current illness

none

Medical history

Alzheimer's, aortic stenosis, anxiety, carcinoma of tongue, depression, CKD3, CAD, HTN, hyperlipidemia, hypothyroidism, osteoporosis, PVD, Type 2 DM

Other medications

acetaminophen, aspirin, atorvastatin, donepezil, duloxetine, empagliflozin, folic acid, lantus, levothyroxine, lisinopril, oxycodone, vitamin d

Allergies

amoxicillin, iodin, lidocaine, lyrica, niacin, penicillin, sulfa, wellbutrin, zithromax