Report #2863829

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: TX
Recovered: Not recovered
Vaccinated: Sep 24, 2025
Onset: Sep 25, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052663	IM / LA

Symptoms (6)

Injection site bruisingInjection site erythemaInjection site swellingPainPneumoniaRash

Symptom narrative

Site: Bruising at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Body Aches Generalized-Medium, Other Vaccines: VaccineTypeBrand: Pneumonia (Capvaxive); Manufacturer: Merck; LotNumber: Z006889; Route: Intramuscular; BodySite: Right arm; Dose: 1; VaxDate: 09/24/2025, VaccineTypeBrand: Shingles (Shingrix); Manufacturer: Glaxosmithkline; LotNumber: 99D52; Route: Intramuscular; BodySite: Left arm; Dose: 2; VaxDate: 09/24/2025