Report #2828236

Received Feb 26, 2025

Hospitalized

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: 93 yrs
State: IN
Recovered: Not recovered
Vaccinated: Dec 17, 2024
Onset: Dec 1, 2024
Days to onset: —
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	—	—
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	1	—	LA
RSV	RSV (ABRYSVO)	PFIZER\WYETH	1	—	IM / LA

Symptoms (1)

Loss of consciousness

Symptom narrative

Pt passed out the following day after administration, Pt couldn't raise arms to catch fall, Pt couldn't reach phone. Pt has been hospitalized ever since.

Current illness

none

Other medications

Doxpin, pravastatin, amlodidipine, clonidine, buspirone, advair, levothyroxine, gabapentin

Allergies

Pcn, antihistamines, latex