Report #2863824

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: 65 yrs
State: NH
Recovered: Recovered
Vaccinated: Sep 26, 2025
Onset: Sep 26, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLUA4	INFLUENZA (SEASONAL) (FLUAD QUADRIVALENT)	SEQIRUS, INC.	1	407264	IM / LA

Symptoms (4)

Back painDizzinessPainPain in extremity

Symptom narrative

Systemic: Dizziness / Lightheadness-Mild, Systemic: Shooting pain from base of back into leg-Medium, Additional Details: patient rested for 5 mins with resolution. provided cold water. declined ems. advised to follow up with provider, Other Vaccines: VaccineTypeBrand: spikevax; Manufacturer: moderna; LotNumber: 3052296; Route: im; BodySite: l arm; Dose: ; VaxDate: UNKNOWN