Report #2864028

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: AZ
Recovered: Unknown
Vaccinated: Oct 2, 2025
Onset: Oct 1, 2025
Days to onset: —
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3052087	IM / LA

Symptoms (1)

Rash

Symptom narrative

PATIENT IS COMPLAING SHE HAD SEVERAL BUMPS ON HER BODY STARTED LATER DAY IN THE EVENING. SAID SLOWLY REDUCE THE SYMPTOPMS