Report #2861778

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: 66 yrs
State: CA
Recovered: Recovered
Vaccinated: Sep 8, 2025
Onset: Sep 1, 2025
Days to onset: —
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
UNK	VACCINE NOT SPECIFIED (OTHER)	UNKNOWN MANUFACTURER	1	407247	IM / LA

Symptoms (3)

PruritusSwelling faceUrticaria

Symptom narrative

She had facial swelling, hives, and itching.

Current illness

none

Medical history

Hyperlipidemia, mild

Allergies

BenzocaineHives/urticaria CinnamonHives/urticaria Flu Vaccin Qs2015-16(36mos,up)Hives/urticaria Gold Sodium ThiosulfateHives/urticaria NeomycinHives/urticaria ProcaineHives/urticaria ThimerosalHives/urticaria Mark as Reviewed

Lab data

Office visit 9/25/25,