Report #2869585

Received Oct 30, 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: 77 yrs
State: CO
Recovered: Unknown
Vaccinated: Oct 30, 2025
Onset: Oct 30, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUARIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	—	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUAD)	SEQIRUS, INC.	UNK	—	IM / RA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Patient was given both the high and regular dose of the Flu vaccine. No signs or symptoms are presented at this time.

Current illness

Medical history

Hemochromatosis, unspecified hemochromatosis type Constipation, chronic Prostatic hypertrophy CKD (chronic kidney disease) Diabetes mellitus type 2, noninsulin dependent (HC CODE) Hypertension, essential Hyperlipidemia, acquired

Other medications

amLODIPine (NORVASC) 5 mg tablet metoprolol succinate (TOPROL-XL) 50 mg 24 hr tablet omeprazole (PRILOSEC OTC) 20 mg EC tablet Psyllium Husk-Sucrose 3.4 gram/7 gram Powd rosuvastatin (CRE