Report #2861032

Received Oct 7, 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: 74 yrs
State: KS
Recovered: Recovered
Vaccinated: Sep 22, 2025
Onset: Sep 22, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	&h	SYR / LA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052087	IM / RA

Symptoms (16)

AstheniaChest painChillsElectric shock sensationHeadacheHypoaesthesiaImmediate post-injection reactionPelvic painPyrexiaVomitingBack painBlood pressure increasedHypertensionHyperventilationNeuralgiaParaesthesia

Symptom narrative

Systemic: Hypertension-Mild, Systemic: Hyperventilation-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: random severe nerve pain per pt aboyt 4 min after dose pt reports starting in back andc feels like shooting pains though chest - reseolved in about 5 min - elevated bp 163/78 pt denied pain at injection site and pain resolved relatively quickly, Other Vaccines: VaccineTypeBrand: fluzone high dose; Manufacturer: ; LotNumber: ut8829ba; Route: intramuscular; BodySite: left arm; Dose: ; VaxDate: UNKNOWN