Report #2860463

Received Sep 22, 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: 78 yrs
State: MA
Recovered: Unknown
Vaccinated: Sep 10, 2025
Onset: Sep 10, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052154	IM / LA

Symptoms (1)

Pruritus

Symptom narrative

Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium

Allergies

amiodarone and clopidogrel