@ldrlaw I agree that those with any chronic disease have a greater risk of a more intense illness of any sort, from flu to pneumonia to Covid, anything!

Here is what I have had, and please understand that while I live with end stage renal disease [now on dialysis] and active blood cancer treatment with chemo, it has been the advice of both oncologist and nephrologist together. Four total regular Covid shots [Pfizer], 1 of the new bivalent Covid [Pfizer], plus two of Evusheld. I think I am as protected as I can be. Beyond that, is the annual flu shot [still need to get this year's dose!] Is is overkill? For some, perhaps. As @collegeprof mentioned, those of us with compromised immune systems run a risk of severe reaction to any infection.

I find it interesting to read about how close you have had your vaccinations together, even on the same day! That is something I steered away from, to not overload my systems. Have you had any localized or systemic reactions? I had bivalent Covid vaccination on 9/27, then a Hep B #1 on 10/3, and will source out flu shot this week.
Ginger