Report #2858751

Received Sep 15, 2025

ER / ED 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: 82 yrs
State: TX
Recovered: Unknown
Vaccinated: Sep 4, 2025
Onset: Sep 4, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	3	MY9550	IM / LA

Symptoms (6)

DiarrhoeaDizzinessHypotensionInjection site painNauseaVomiting

Symptom narrative

Site: Pain at Injection Site-Mild, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Other Vaccines: VaccineTypeBrand: Fluzone High Dose 25-26; Manufacturer: Sanofi; LotNumber: UT8763GA; Route: IM; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: Boostrix TDap; Manufacturer: GSK; LotNumber: 4YA34; Route: IM; BodySite: right deltoid; Dose: ; VaxDate: UNKNOWN

Allergies

penicillins and cephalosporins