Report #2861710

Received Sep 26, 2025

Office 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: 75 yrs
State: KY
Recovered: Recovered
Vaccinated: Sep 19, 2025
Onset: Sep 20, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	4	502296	IM / LA

Symptoms (5)

Blood test normalChest X-ray normalComputerised tomogram normalConfusional stateElectrocardiogram normal

Symptom narrative

confusion

Current illness

Medical history

rheumatic arthritis

Other medications

hydroxychloroquine, pregabalin, methotraxate , gabapentin, folic acid

Allergies

sulfa and penicillin

Lab data

CT scan , EKG, Chest X ray , Blood work - all normal