Report #2863885

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: 87 yrs
State: CA
Recovered: Recovered
Vaccinated: Sep 21, 2025
Onset: Sep 21, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19-2	COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT))	PFIZER\BIONTECH	UNK	my9548	IM / LA

Symptoms (6)

FatigueInjection site erythemaInjection site painInjection site swellingLethargyPruritus

Symptom narrative

Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Exhaustion / Lethargy-Severe, Systemic: itching on back and stomach-Medium, Additional Details: pt said fully recovered and has several allergies on file. has had other covid vaccines in past with no reaction but had similar reaction to shingrix vaccine so never got second vaccine of shingrix. she will contact her md before having any more covid vaccines

Allergies

pt said had similar to reaction to shingrix vaccine . also allergic to procaine, lidocaine, clindamycin, sulfa, novocaine, amoxicillin and dosxycycle