Report #2859001

Received Sep 15, 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: 86 yrs
State: NY
Recovered: Not recovered
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 / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	N/A	u8764bb	IM / RA

Symptoms (3)

Injection site erythemaInjection site swellingInjection site warmth

Symptom narrative

Patient had swelling, redness and heat on the right arm in the vicinity of the two injections. Arm able to move without restriction and no pain.

Medical history

high blood pressure, low potassium, high cholesterol

Other medications

HCTZ, Potassium, amlodipine,simvastatin

Allergies

NKA