Report #2824936

Received Feb 6, 2025

Office visit

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: Female
Age: 90 yrs
State: MD
Recovered: Not recovered
Vaccinated: Jan 14, 2025
Onset: Jan 14, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19-2	COVID19 (COVID19 (MODERNA BIVALENT))	MODERNA	1	3042560	IM / LA

Symptoms (2)

Injection site painPain

Symptom narrative

Site: Pain at Injection Site-Severe, Systemic: Body Aches Generalized-Severe, Other Vaccines: VaccineTypeBrand: spikevax; Manufacturer: ; LotNumber: ; Route: ; BodySite: ; Dose: ; VaxDate: UNKNOWN