Report #2862822

Received Oct 2, 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: 84 yrs
State: OH
Recovered: Unknown
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	3052550	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUAD)	SEQIRUS, INC.	1	407252	IM / LA

Symptoms (2)

Back painNeck pain

Symptom narrative

pt received COVID19 Moderna and FluAd influenza shot in Lt arm at our drive thru event on 9/25/2025 with no issues, states she woke up with at very sore neck and back, she i s still having this discomfort today 10/2/2025 (a week later).

Current illness

Lt foot ingrown toe nail

Medical history

high cholesterol, kidney stones, low BP

Other medications

MVI, stool softener, atravostatin , rosemid-diuretic , calcium. fludrocortizone-for low BP, oxybutanin

Allergies

not that she is aware of