Report #2877505

Received Dec 11, 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: Male
Age: 57 yrs
State: IL
Recovered: Unknown
Vaccinated: Dec 9, 2025
Onset: Dec 9, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLUC4	INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)	SEQIRUS, INC.	UNK	407002	IM / LA
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	1	MG7418	IM / LA
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	UNK	MY9548	IM / RA
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	5A727	IM / RA

Symptoms (5)

DizzinessImmediate post-injection reactionMalaisePallorTremor

Symptom narrative

Immediately following the vaccines the patient said he did not feel well. He became pale and shaky and lightheaded. 911 was called and he was starting to feel better when they arrived. They examined him at the pharmacy and he was able to go home on his own about 30 minutes later.