Report #2881323

Received Jan 9, 2026

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: IL
Recovered: Unknown
Vaccinated: Jan 9, 2026
Onset: Jan 9, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	1	UT8770NA	IM / LA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Patient did not have an adverse reaction or event. Patient received an additional flu vaccine dose in the same season. Vaccine #1 10/08/2025 and 01/0902026. A medication error occured.

Current illness

none known

Medical history

hyperlipidemia, arrhythmia, Dysplastic nevus, Atherosclerosis

Other medications

Eliquis, flonase, multivitamin and rosuvastatin

Allergies

none

Lab data

none