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Report #2873330

Received Nov 18, 2025

Office 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
Female
Age
85 yrs
State
NJ
Recovered
Unknown
Vaccinated
Nov 11, 2025
Onset
Nov 11, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)SANOFI PASTEUR1U8837BAIM / LA

Symptoms (3)

Eyelid rashRashRash macular

Symptom narrative

Patient received flu vaccine on 11/11/25. Called the triage line on 11/14/25 to state she had developed a blotchy rash on face a few hours after receiving the vaccine. As of 11/14/25 she still had the rash on face and left eyelid. Patient was seen in office on 11/14/25 by the Nurse Practitioner who examined and stated the patient had a rash that involved the right forehead, right upper and lower lids. There was concern that it was herpes zoster ophthalmicus. Patient was also referred to ophthalmology and was seen that same day. She was prescribed valacyclovir 1g tablet by mouth 3 times a day. Patient had a follow up appointment with Dr. {withheld} on 11/17/25 and it was noted that patient was still taking the valtrex and eye ointment prescribed by ophthalmology and also had a follow up appointment with them as well.

Medical history

Primary Hypertension, Hyperlipidemia, Peripheral Polyneuropathy, GERD, Coronary Artery Disease

Other medications

Metoprolol Succinate 50 MG, Atorvastatin 40 MG, Amlodipine 10 MG

Allergies

Shellfish, Hydrochlorothiazide, Iodine