Report #2886631

Received Feb 24, 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: 74 yrs
State: IL
Recovered: Unknown
Vaccinated: Feb 23, 2026
Onset: Feb 23, 2026
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	N/A	3052859	IM / LA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	N/A	3053856	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	1	U8855DA	IM / RA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Patient denies any symptoms on 2/23/26 @ 3:30pm

Current illness

stomach cramping from Ozempic, ocular rosacea

Medical history

Hypertension, hypercholesterolemia, Coronary Artery Bypass Graft (x3)

Other medications

Plavix, Propranolol, Ozempic, insulin, Farxiga, atorvastatin

Allergies

NKA

Lab data

n/a