Report #2863590

Received Oct 6, 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: 79 yrs
State: FL
Recovered: Recovered
Vaccinated: Sep 27, 2025
Onset: Sep 28, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	MY9550	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	1	UT8781DA	IM / LA

Symptoms (2)

DisorientationPyrexia

Symptom narrative

THE PATIENTS SIGNIFICANT OTHER REPORTED THE PATIENT HAD A FEVER OF 103 DEGREES AND FELT DISORIENTED. SHE WENT TO THE ER FOR OBSERVATION.

Current illness

Medical history

GERD, PAIN, ANXIETY

Other medications

CLONAZEPAM, SUCRALFATE, ATORVASTATIN, OMEPRAZOLE, GABAPENTIN, FAMOTIDINE

Allergies

AMITRIPTYLLINE

Lab data

WENT TO THE ER FOR EVALUATION. NOTHING DETERMINED OTHER THAN THE VACCINE RECEIVED