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Report #2873154

Received Nov 17, 2025

ER / ED visit
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
75 yrs
State
TX
Recovered
Recovered
Vaccinated
Nov 13, 2025
Onset
Nov 13, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLUN3INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.1u8859baIM / LA

Symptoms (4)

Anaphylaxis treatmentDizzinessEye movement disorderHypopnoea

Symptom narrative

patient felt dizzy and swallow breathing with rolling eyes after shot was given by a certified IMZ technician. Had to be given 1 shot of Epipen .

Current illness

acid reflux

Medical history

dementia

Other medications

memantine, omeprazole, donepezil, meclizine, sucralfate, isosorbide, rosuvastatin

Allergies

no known drug allergy

Lab data

not known at this time