Report #2870523

Received Nov 4, 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: 40 yrs
State: TN
Recovered: Recovered
Vaccinated: Oct 1, 2025
Onset: Oct 1, 2025
Days to onset: 0
Hospital days: —

Vaccines (5)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	UNK	—	IM
HEP	HEP B (RECOMBIVAX HB)	MERCK & CO. INC.	UNK	—	IM
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	UNK	—	SC
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	—	IM
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	UNK	—	SC

Symptoms (1)

Extra dose administered

Symptom narrative

PATIENT DID NOT HAVE VACCINE RECORD AT TIME OF CLINIC VISIT AND WAS REQUESTING VACCINES REQUIRED. NURSE GAVE VACCINES BASED ON NO HISTORY OF BEING VACCINATED DUE TO NO RECORD AVAILABLE. PATIENT BROUGHT VACCINE IN TO CLINIC AT A LATER DATE AND HAD A COMPLETED SERIES OF MMR, HEP B, AND TETANUS.