Report #2881705

Received Jan 13, 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: 60 yrs
State: KS
Recovered: Unknown
Vaccinated: Jan 12, 2026
Onset: Jan 12, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUARIX)	GLAXOSMITHKLINE BIOLOGICALS	2	3F7A5	RA

Symptoms (1)

Extra dose administered

Symptom narrative

Patient received a fluarix on 8/28/25 and another one on 1/12/26 making this a med error

Current illness

N/A

Medical history

HTN, HERPES, PREDIABETES, HYPERLIPDEMIA, ED AND CHRONIC PAIN

Other medications

Acyclovir (800 MG Tablet), Lisinopril (20 MG Tablet), Multi For Him (- Capsule), Pravastatin Sodium (20 MG Tablet), Sildenafil Citrate (50 MG Tablet), and Voltaren (1 % Gel)

Allergies

N.K.D.A

Lab data

n/a