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Report #2873257

Received Nov 18, 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
64 yrs
State
NY
Recovered
Unknown
Vaccinated
Oct 29, 2025
Onset
Oct 29, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)SANOFI PASTEUR1U8837AAOT / LA

Symptoms (2)

No adverse eventProduct administered to patient of inappropriate age

Symptom narrative

administration of fluzone hd to a 64-year-old patient with no reported adverse event; Initial information received on 13-Nov-2025 regarding an unsolicited valid non-serious case received from a nurse. This case involves a 64 years old male patient who received INFLUENZA USP TRIVAL A-B HIGH DOSE SUBVIRION VACCINE [FLUZONE HD] with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included PNEUMOCOCCAL VACCINE CONJ 20V (CRM197) (PREVNAR 20) for Prophylactic vaccination (Immunisation). On 29-Oct-2025, the patient received a dose 1, 0.5 ml of suspect INFLUENZA USP TRIVAL A-B HIGH DOSE SUBVIRION VACCINE, Suspension for injection in pre-filled syringe (lot U8837AA and expiry 31-Jun-2026) with no adverse event (Product administered to patient of inappropriate age) (Latency same day) via intramuscular route in the left deltoid for immunization. Action taken was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.

Other medications

PREVNAR 20