Report #2858570

Received Sep 13, 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: 59 yrs
State: NY
Recovered: Unknown
Vaccinated: Sep 12, 2025
Onset: Sep 13, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	N/A	3052549	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUBLOK)	SANOFI PASTEUR	N/A	U8790AA	IM / LA

Symptoms (4)

ChillsInfluenza like illnessPainPyrexia

Symptom narrative

entire body flu like symptoms (aches, fever, chills)

Medical history

high blood pressure

Other medications

lisinopril, albuterol

Allergies

penicillins