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Report #2868771

Received Oct 27, 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
69 yrs
State
KS
Recovered
Unknown
Vaccinated
Oct 27, 2025
Onset
Oct 27, 2025
Days to onset
0
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUAD)SEQIRUS, INC.UNK407246IM / RA
PNC20PNEUMO (PREVNAR20)PFIZER\WYETHUNKLN4929IM / RA
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALS147N3ySC / LA

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

RSV (Beyfortus) 50MG/0.5ML was administered despite patient being outside recommended age range.

Medical history

N40.0 BPH without urinary obstruction E11.69 Type 2 diabetes mellitus with other specified complication, without long-term current use of insulin I10 Primary hypertension M19.90 Arthritis F33.42 Recurrent major depressive disorder, in full remission Z79.01 Anticoagulant long-term use E78.2 Mixed hyperlipidemia G89.29 Other chronic pain J84.10 Pulmonary fibrosis I63.9 Cerebrovascular accident (CVA), unspecified mechanism E83.52 Hypercalcemia M05.9 Rheumatoid arthritis with positive rheumatoid factor, involving unspecified site H81.10 Benign paroxysmal positional vertigo, unspecified laterality C61 Prostate cancer K21.9 GERD without esophagitis

Other medications

Acetyl Salicylic Acid Aspirin 81 (81 MG Tablet Delayed Release)1 tablet Once a day , Orally Atorvastatin Calcium (20 MG Tablet)1 tablet Once a day , Orally Basaglar KwikPen (100 UNIT/ML Solution Pen-injector)INJECT 15 UNITS UNDER THE SKIN

Allergies

Almonds