Report #2868993

Received Oct 28, 2025

Died

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: 75 yrs
State: MI
Recovered: Not recovered
Vaccinated: Oct 27, 2025
Onset: Oct 28, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUAD)	SEQIRUS, INC.	1	409166	IM / RA

Symptoms (3)

Cardiac arrestDeathResuscitation

Symptom narrative

Cardiac arrest, CPR, EMS, Death

Current illness

upon request

Medical history

upon request

Other medications

N/A

Allergies

NKA