Report #2863819

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: 77 yrs
State: IN
Recovered: Recovered
Vaccinated: Sep 23, 2025
Onset: Sep 24, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	NA0587	IM / LA

Symptoms (7)

FatigueHeadacheInjection site erythemaInjection site painInjection site swellingLethargyPyrexia

Symptom narrative

Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, Systemic: Headache-Medium, Other Vaccines: VaccineTypeBrand: Fluzone High Dose; Manufacturer: Sanofi-Pasteur; LotNumber: U8830DA; Route: Intramuscular; BodySite: Left deltoid; Dose: ; VaxDate: UNKNOWN