Report #2864269

Received Oct 8, 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: 96 yrs
State: GA
Recovered: Recovered
Vaccinated: Oct 2, 2025
Onset: Oct 3, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	7+	3052549	IM / RA

Symptoms (2)

Injection site erythemaInjection site pruritus

Symptom narrative

ITCHING AND REDNESS AT THE INJECTION SITE. CLEARED ON DAY 5

Current illness

N/A

Medical history

HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, ANXIETY, IBS-C

Other medications

LOVASTATIN 10MG, LINZESS 72MCG, CLONAZEPAM 0.5MG, ESCITALOPRAM 10MG, METOPROLOL TARTRATE 25MG

Allergies

N/A