Report #2882221

Received Jan 16, 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: 17 yrs
State: AZ
Recovered: Recovered
Vaccinated: Jan 16, 2026
Onset: Jan 16, 2026
Days to onset: 0
Hospital days: —

Vaccines (8)

Type	Name	Manufacturer	Dose	Lot	Route / Site
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	UNK	5pp37	IM / RA
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	2	y019459	IM / LA
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	2	3n2nd	IM / RA
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	2	y019930	IM / RA
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	2	y1a212m	SC / LA
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	2	95p4m	IM / RA
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	2	z008873	SC / RA
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	1	3255p	IM / LA

Symptoms (1)

Extra dose administered

Symptom narrative

Patient received a flu shot in another state 11/18/25 per guardian regulating agency

Current illness

none

Medical history

none

Other medications

unk

Allergies

none