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Report #2870991

Received Nov 6, 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
88 yrs
State
—
Recovered
Not recovered
Vaccinated
Nov 3, 2025
Onset
Nov 3, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUAD)SEQIRUS, INC.UNK407272IM

Symptoms (1)

Death

Symptom narrative

Patient was in hospice care received Flu vaccine at 1215pm and passed away at 1157pm the same day 11/3/25

Current illness

patient was on hospice for CHF/COPD

Medical history

multiple, patient was in hospice care. patient received Flu vaccine at 1215pm and passed away @1157pm

Other medications

4) NUTR SUPL BOOST BREEZE LIQUID WILD BERRY 240ML BY MOUTH ACTIVE EVERY DAY AS DIRECTED FOR NUTRITIONAL SUPPLEMENT (REPLACES ENSURE-CLEAR BERRY WHILE UNAVAILABLE) Indication: FOR NUTRITIONAL SUPPLEMENT 5) NUTRIT

Allergies

citalopram