Report #2864156

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: 74 yrs
State: FL
Recovered: Recovered
Vaccinated: Sep 30, 2025
Onset: Sep 30, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	MY9550	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	UNK	UT8781AA	IM / LA

Symptoms (5)

RashRash erythematousRash papularRash pruriticSwelling of eyelid

Symptom narrative

Patient Broke out in Rash all over Trunk(stomach and back), Groin area. Raised Red, and itchy. Rash lasted 3 to 4 days. Eyelids were swollen

Current illness

N/A

Medical history

HTN, High Cholesterol

Other medications

Myrbetriq ER 50mg , Lisinopril 10mg, Zypitamag 2mg, Famotidine 20mg

Allergies

NKA