Report #2856674

Received Sep 3, 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: 75 yrs
State: FL
Recovered: Recovered
Vaccinated: Sep 3, 2025
Onset: Sep 3, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052586	IM / RA

Symptoms (1)

Unevaluable event

Symptom narrative

Vaccine administered to patient with no guideline. The state requires approval for administration of this vaccine.

Current illness

None

Medical history

None

Other medications

Information not provided by patient.

Allergies

Penicillin /Macrolides /Salicylates