Report #2871350

Received Nov 7, 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: 43 yrs
State: MI
Recovered: Unknown
Vaccinated: Nov 7, 2025
Onset: Nov 7, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	1	UT8817NA	IM / LA

Symptoms (1)

Extra dose administered

Symptom narrative

Patient came in on 11/7/25 with his mother, who has guardianship, to receive vaccines. RN went over vaccine record, name, and date of birth to confirm both clients and discussed receiving Flu and Covid-19 vaccines which mom agreed to. RN presented vaccine information statements to clients and went to retrieve vaccines. When RN prepped patient's arm and explained she was giving Flu and Covid to patient, after administration mom stated, "Oh, we actually both had Flu at pharmacy in September.". RN apologized to the client and explained she did not notice that on the vaccine record, and will report to supervisor and complete VAERS form.

Medical history

Asthma and Pre-Diabetes

Allergies

Penicillin, Theophylline, and Hayfever