Report #2838263

Received Apr 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: 77 yrs
State: CA
Recovered: Recovered
Vaccinated: Oct 25, 2021
Onset: Oct 26, 2021
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	3	017F21A	IM / LA

Symptoms (1)

Chills

Symptom narrative

Systemic: Chills-Medium