Report #2850561

Received Jul 21, 2025

Office visit

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: 58 yrs
State: FL
Recovered: Unknown
Vaccinated: Jul 11, 2025
Onset: Jul 17, 2025
Days to onset: 6
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	1	U7013DA	OT

Symptoms (5)

ErythemaIndurationInjection site ulcerSwellingTenderness

Symptom narrative

On 07/21/2025 donor presented with extended redness, induration, swelling, tenderness, and possible infection. RP contact and says ulcers present at site. F4100 referenced and DAE 10.2 initiated. RP request donor goes to personal physician for evaluation.

Current illness

None

Medical history

None

Other medications

None

Allergies

NKA

Lab data

None