Report #2865109

Received Oct 11, 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: 68 yrs
State: AL
Recovered: Recovered
Vaccinated: Oct 11, 2025
Onset: Oct 11, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	7+	3052036	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	UNK	U8764DB	IM / RA
PNC21	PNEUMO (CAPVAXIVE)	MERCK & CO. INC.	UNK	Z009681	IM / LA
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	2	9C75Y	IM / LA

Symptoms (4)

HyperhidrosisPalpitationsSyncopeVisual impairment

Symptom narrative

syncope, sweating, vision changes, heart racing

Current illness

anemia, cardiac disorder, renal abnormalities, just got over pneumonia

Medical history

anemia, cardiac disorder, renal abnormalities

Other medications

unknown

Allergies

morphine, prochlorperazine

Lab data

n/a