Report #2864011

Received Oct 7, 2025

Hospitalized

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: 90 yrs
State: ID
Recovered: Recovered
Vaccinated: Sep 30, 2025
Onset: Oct 2, 2025
Days to onset: 2
Hospital days: 3

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	4	—	SYR
FLU3	INFLUENZA (SEASONAL) (FLUAD)	SEQIRUS, INC.	UNK	—	SYR
PNC13	PNEUMO (PREVNAR13)	PFIZER\WYETH	UNK	—	SYR

Symptoms (4)

ChillsPainPneumoniaPyrexia

Symptom narrative

Penumonia, Fever, Chills, Body Aches,

Current illness

Medical history

Hypothyroid, Hypertension, Bronchiectasis,

Other medications

ASA, Estradoil, Levothyroxine, Losartan, Spironolactone

Allergies

Bee Stings

Lab data

Hospitalization 10/5/25