Report #2831224

Received Mar 13, 2025

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: ID
Recovered: Recovered
Vaccinated: Mar 13, 2025
Onset: Mar 13, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3043823	IM / LA

Symptoms (3)

Back painDizzinessFlushing

Symptom narrative

severe flushing, light-headedness within five minutes after injection, followed by lower back pain; reaction abated within fifteen minutes and patient exited store under own volition.

Current illness

self-reported recent shingles episode

Medical history

unknown

Other medications

unknown

Allergies

unknown

Lab data

n/a