Report #2889113

Received Mar 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: 76 yrs
State: NJ
Recovered: Recovered
Vaccinated: Nov 21, 2025
Onset: Jan 16, 2026
Days to onset: 56
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
RSV	RSV (AREXVY)	GLAXOSMITHKLINE BIOLOGICALS	1	37am2	IM / LA

Symptoms (2)

Guillain-Barre syndromeParaesthesia

Symptom narrative

Systemic: Tingling (specify: facial area, extemities)-Severe, Additional Details: Patient was diagnosed on 2/16 at hospital with gillian-barre disease. Pt wanted us to put in on record, Other Vaccines: VaccineTypeBrand: fluzone high dose; Manufacturer: sanofi; LotNumber: u8862da; Route: IM; BodySite: LEFT ARM; Dose: 1; VaxDate: 11/01/2025, VaccineTypeBrand: capvaxive; Manufacturer: merck; LotNumber: z010457; Route: IM; BodySite: LEFT ARM; Dose: 1; VaxDate: 11/01/2025