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Report #2869403

Received Oct 29, 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
79 yrs
State
MI
Recovered
Recovered
Vaccinated
Oct 29, 2025
Onset
Oct 29, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUAD)SEQIRUS, INC.UNK407263IM / LA

Symptoms (2)

Immediate post-injection reactionRenal pain

Symptom narrative

Patient complained of kidney pain immediately after vaccine was administered. Patient was observed for 30 minutes and seen by NP. blood pressure and pulse were taken. 142/72 hr 76. No shortness of breath or difficulty breathing. Cool wash cloth was applies and patient drink glass of water.

Medical history

New RBKA, Osteomyelitis, DMII, Sleep Apnea, Pulmonary HTN, CHF,CKD, A-Fib, Anemia, ASHD, Tachycardia, PYD, BPH, Hyperlipidemia.

Other medications

Acetaminophen, Amlactin, Bumetadine< Calcium with vitamin D, cavedilol, daily vitamin, entresto, farxiga, ferroussulfate, gabapentin, lantus, lorazepma, magnessium oxide, methocarbamolol, omeprazole, spironolactone, tamsulosin, tramadol

Allergies

Hydrocodone, Benzhydrocodone, and Hydromorphone, Oxycodone and Oxymorphone, Chlorzoxazone, Doxycycline