Report #2882942

Received Jan 23, 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: 66 yrs
State: KS
Recovered: Unknown
Vaccinated: Jan 23, 2026
Onset: Jan 23, 2026
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	1	LT9HP	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	1	UT8869BA	IM / LA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Medical Assistant gave patient both FluLaval and Fluzone at same encounter. Mistake was discovered before patient left the clinic. No symptoms at time of injection.

Medical history

HTN (hypertension) I25.10 CAD (coronary artery disease) E78.5 Hyperlipidemia E11.9 Type 2 diabetes mellitus without complication, without long-term current use of insulin K21.9 GERD (gastroesophageal reflux disease) J44.9 COPD, severe I50.22 Chronic systolic (congestive) heart failure J96.11 Chronic respiratory failure with hypoxia

Other medications

Trelegy Ellipta(Fluticasone-Umeclidin-Vilant) 100-62.5-25 MCG/ACT Aerosol Powder Breath ActivatedStart C R S Albuterol Sulfate HFA 108 (90 Base) MCG/ACT Aerosol SolutionTaking C R S Atorvastatin Calcium 40 MG TabletTaking C R S Clopid

Allergies

Sulfa Antibiotics NSAIDs

Lab data

n/a