Report #2861696

Received Sep 26, 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: 66 yrs
State: WI
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	1	3051995	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	1	U8855AA	IM / LA

Symptoms (1)

Dysphagia

Symptom narrative

Fluzone HD and MNexspike vaccines were administered to patient at the pharmacy at approximately 10:00 AM on 9/25/25. The patient left the pharmacy without incident. The patient contacted the pharmacy via phone at approximately 4:00 PM on 9/25/25 stating they were having trouble swallowing with no other symptoms of anaphylaxis (no hives, rash, trouble breathing). The patient denied any other cause of allergic reaction other than the vaccines. Patient was instructed to seek medical attention by the pharmacist. The patient returned to the pharmacy on 9/26/25 and informed pharmacy staff that they did have an episode of anaphylaxis.