Report #2861408

Received Sep 25, 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: 67 yrs
State: WA
Recovered: Recovered
Vaccinated: Sep 25, 2025
Onset: Sep 25, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3052549	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	1	u8764db	IM / LA

Symptoms (5)

Back painFeeling of body temperature changeLacrimation increasedPalpitationsRhinorrhoea

Symptom narrative

Patient experienced cold and hot, back pain, heart palpitation, running eyes and nose after 12 hours from injection. Affect was resolved after 2 hours of sleep.

Current illness

N/A

Medical history

N/A

Other medications

n/a

Allergies

NKDA

Lab data

n/a