Report #2836368

Received Apr 16, 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: 104 yrs
State: MN
Recovered: Recovered
Vaccinated: Apr 9, 2025
Onset: Apr 1, 2025
Days to onset: —
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	5	MD3414	—

Symptoms (1)

Extra dose administered

Symptom narrative

Vaccine offered per CDC recommendations to residents present in facility that are eligible, resident received as eligible on 3/28/2025 but unfortunately was not processed correctly on paperwork as administered so was re-administered on 4/9/2025 as though it was recommended to receive (duplicate spring booster administered).

Current illness

None

Medical history

Dementia, dysphagia, weakness,

Other medications

tylenol, albuterol PRN, omeprazole QD

Allergies

ibuprofen, penicillins, blood-group specific substance

Lab data

None