Report #2833626

Received Mar 28, 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: 100 yrs
State: SD
Recovered: Not recovered
Vaccinated: Mar 25, 2025
Onset: Mar 27, 2025
Days to onset: 2
Hospital days: —

Vaccines (1)

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

Symptoms (3)

Injection site erythemaInjection site rashInjection site warmth

Symptom narrative

Red, hot, raised rash at injection site. 5 cm x 6 cm

Current illness

None known

Medical history

Alzheimer's, hypertension, vitamin B12 deficiency, anemia, dementia, COPD, depressive disorder, osteoarthritis, urinary incontinence

Other medications

furosemide, donepezil, cholestyramine, potassium, vitron-C, amlodipine, acidophilus, citalopram, vitamin B-12, loperamide, albuterol inhalation solution, genteal tears, Advair

Allergies

NKDA