Report #2879192

Received Dec 22, 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: IL
Recovered: Unknown
Vaccinated: Oct 30, 2025
Onset: Oct 30, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUAD)	SEQIRUS, INC.	1	407251	IM / RA

Symptoms (1)

Unevaluable event

Symptom narrative

N/A

Current illness

N/A

Medical history

HTN, CAD, HLD, T2DM, diverticulosis of colon, CKD, anemia, osteoarthritis, steatotic liver disease

Other medications

aspirin, atorvastatin, biotin, hydrochloriothiazide, lantus, lisinopril, metamucil, metformin, metoprolol, mounjaro, multi-vitamin, novolog, potassium chloride, primidone, rezdiffra, sildenafil, tramadol, verapamil

Allergies

NKDA

Lab data

N/A