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Report #2836035

Received Apr 14, 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
50 yrs
State
OR
Recovered
Recovered
Vaccinated
Mar 20, 2025
Onset
Mar 20, 2025
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA6B0005IM / RA
FLU3INFLUENZA (SEASONAL) (FLUCELVAX)SEQIRUS, INC.N/A391417IM / RA

Symptoms (2)

No adverse eventProduct storage error

Symptom narrative

No adverse event reported. Reporting per Moderna after a temperature excursion, vaccine remained viable after the excursion per Moderna.

Current illness

Activity intolerance

Medical history

PVD, pulmonary embolism, vascular insufficiency, asymptomatic varicose veins of right lower extremity, bunion of right great toe, chronic bilateral low back pain without sciatica, RLS, idiopathich chronic gout, bilateral lower limb edema, pain of right lower extremity, essential tremor, pruritus vulvae, drug-induced diabetes mellitus, iatrogenic pulmonary embolism and infarction, chronic respiratory failure with hypoxia and hypercapnia, PTSD, schizotypal personal disorder, anxiety state, OCD, morbid obesity, insomnia, unsteady gait

Other medications

gabapentin, fluvoxamine, ziprasidone, torsemide, potassium chloride, diclofenac sodium, clotrimazole cream, sodium chloride nasal spray, ura, benzonatate, albuterol HFA, zinc oxide ointment, ascorbic acid, chlorhexidine gluconate,

Allergies

oxycodone, glipizide, metformin

Lab data

N/A