Report #2863788

Received Oct 7, 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: 57 yrs
State: CA
Recovered: Unknown
Vaccinated: Sep 22, 2025
Onset: Sep 22, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19-2	COVID19 (COVID19 (MODERNA BIVALENT))	MODERNA	1	3052586	IM / LA

Symptoms (9)

Injection site bruisingInjection site erythemaInjection site painInjection site paraesthesiaInjection site pruritusInjection site swellingInjection site warmthJoint injuryRash

Symptom narrative

Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium, Additional Details: patinet recieved both shots flu and spikevax shot , complain of redness tingly sorenss itchiness hot to the touch told patient to go to her doctor. she mention she took benadryl. pt had not difficulty breathing more onsite reaction ofthe injection, Other Vaccines: VaccineTypeBrand: spikevax; Manufacturer: moderna; LotNumber: 3052586; Route: IM; BodySite: arm; Dose: ; VaxDate: UNKNOWN

Allergies

none