Report #2828852

Received Feb 28, 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: 81 yrs
State: MN
Recovered: Unknown
Vaccinated: Oct 11, 2024
Onset: Feb 21, 2025
Days to onset: 133
Hospital days: —

Vaccines (6)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	031L20A	IM / LA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	031A21A	IM / LA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	3	051F21A	IM / LA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	4	056A22A	IM / LA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	5	3030701	IM / LA
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	N/A	8080797	UN / UN

Symptoms (3)

CoughNasal congestionSARS-CoV-2 test

Symptom narrative

Nasal congestion, cough

Current illness

Unknown

Medical history

Hypertension, hypothyroidism, a fib, hyperlipidemia

Other medications

Magnesium, carvedilol, warfarin, levothyroxine, famotidine, dupilumab, kenalog cream, diprosone cream, losartan, protonix, colace, vitamin d3, magnesium hydroxide, spironolactone

Allergies

Atorvastatin, hydrochlorothiazide, lasix, lopressor, norvasc, omeprazole, rosuvastatin

Lab data

IDNOW