Report #2874111

Received Nov 21, 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: 69 yrs
State: CA
Recovered: Recovered
Vaccinated: Nov 21, 2025
Onset: Nov 21, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	N/A	UT8763HA	SYR / LA

Symptoms (1)

Extra dose administered

Symptom narrative

Not an adverse event but patient had already received a flu shot at the doctor's office on 10/15/25 and this extra dose at our store. Asked them to monitor for any side effects and contacted doctor's office to inform them.

Current illness

N/A

Medical history

diabetes

Other medications

atorvastatin, rybelsus, aspirin, vitamin d, metformin

Allergies

N/A