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Report #2863909

Received Oct 7, 2025

Office visit
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
94 yrs
State
PA
Recovered
Not recovered
Vaccinated
Sep 29, 2025
Onset
Sep 30, 2025
Days to onset
1
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLUA4INFLUENZA (SEASONAL) (FLUAD QUADRIVALENT)SEQIRUS, INC.1407264IM / LA

Symptoms (7)

Injection site bruisingInjection site erythemaInjection site pruritusInjection site swellingInjection site warmthPruritusRash

Symptom narrative

Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash Generalized-Mild, Additional Details: patient is not sure which vaccine gave her this reaction, she recieved 2 shots within 4 days of each other. was referred to go to urgent care or pcp for follow up. brusing/redness/swelling of arm that is slightly warm to touch with itch, Other Vaccines: VaccineTypeBrand: mnexpike; Manufacturer: moderna; LotNumber: 3052734; Route: im; BodySite: left arm; Dose: 1; VaxDate: 09/25/2025