Report #2877472

Received Dec 11, 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: 63 yrs
State: WA
Recovered: Unknown
Vaccinated: Dec 8, 2025
Onset: Dec 8, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUARIX)	GLAXOSMITHKLINE BIOLOGICALS	7+	—	IM / RA

Symptoms (1)

Extra dose administered

Symptom narrative

none

Current illness

none

Medical history

Diabetic

Other medications

Lantus Solostar u-100, Valsartan 10mg,Ozempic 0.25mg,semglee insulin glargine pen 100 unit/ml (3ml), Memantine 5mg, Vitamin D-3 125mcg, vitamin B-12, 500mcg, Aspirin 81mg, donepezil 10mg, amlodipine 5mg,humalog Kwikpen 100 unit insulin, ato

Allergies

none

Lab data

none