VAERS Explorer
Back to explore

Report #2854122

Received Aug 14, 2025

Hospitalized
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
76 yrs
State
MN
Recovered
Unknown
Vaccinated
Mar 17, 2021
Onset
Aug 11, 2025
Days to onset
1608
Hospital days
3

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA2040A21AIM / RA

Symptoms (2)

COVID-19SARS-CoV-2 test positive

Symptom narrative

Hospitalization related to COVID 19 following completion of primary vaccine series

Current illness

Acquired plantar porokeratosis (L85.1) o Actinic keratosis (L57.0) o Age related osteoporosis (M81.0) o Bunion (M21.619) o Closed fracture of distal end of right radius with routine healing, unspecified fracturemorphology, subsequent encounter (S52.501D) o Constipation (K59.00) o Generalized anxiety disorder (F41.1) o Hammer toe (M20.40) o Heartburn (R12) o Hydronephrosis of right kidney (N13.30) o Hyperlipidemia (E78.5) o Hypertension (I10) o Hypokalemia (E87.6) o Hyponatremia (E87.1) o Hypothyroidism (E03.9) o Lower back pain (M54.5) o Neoplasm of uncertain behavior of skin (D48.5) o Nocturia (R35.1) o Osteopenia (M85.80) o Postmenopausal atrophic vaginitis (N95.2) o Psoriasis (L40.9) o Rosacea (L71.9) o Senile nuclear cataract (H25.10) o Urethral stricture (N35.919) o Vitiligo (L80)2

Medical history

Acquired plantar porokeratosis (L85.1) o Actinic keratosis (L57.0) o Age related osteoporosis (M81.0) o Bunion (M21.619) o Closed fracture of distal end of right radius with routine healing, unspecified fracturemorphology, subsequent encounter (S52.501D) o Constipation (K59.00) o Generalized anxiety disorder (F41.1) o Hammer toe (M20.40) o Heartburn (R12) o Hydronephrosis of right kidney (N13.30) o Hyperlipidemia (E78.5) o Hypertension (I10) o Hypokalemia (E87.6) o Hyponatremia (E87.1) o Hypothyroidism (E03.9) o Lower back pain (M54.5) o Neoplasm of uncertain behavior of skin (D48.5) o Nocturia (R35.1) o Osteopenia (M85.80) o Postmenopausal atrophic vaginitis (N95.2) o Psoriasis (L40.9) o Rosacea (L71.9) o Senile nuclear cataract (H25.10) o Urethral stricture (N35.919) o Vitiligo (L80)2

Other medications

Acetaminophen 500 MG Oral TabletTAKE 2 TABLET Every 8 hours for painamLODIPine Besylate 10 MG Oral TabletTAKE 1 TABLET BY MOUTH ONCE DAILYArtificial Tears 1.4 % Ophthalmic SolutionONE DROP BOTH EYES 4 TIMES DAILY prnAspirin 325 MG Oral Tabl

Allergies

Penicillins o Tylenol with Codeine #3 TABS o Flagyl CAPS o Lisinopril TABS

Lab data

Covid positive test date