Report #2865273

Received Oct 10, 2025

ER / ED 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: 67 yrs
State: NJ
Recovered: Not recovered
Vaccinated: Oct 9, 2025
Onset: Oct 9, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
PPV	PNEUMO (NO BRAND NAME)	UNKNOWN MANUFACTURER	UNK	—	—

Symptoms (8)

Blood glucose normalChillsDry mouthHeadacheHypoaesthesiaPainParaesthesiaSARS-CoV-2 test negative

Symptom narrative

2.5 hours after vaccine chills, diffuse body aches, H/A dry mouth, numbness/tingling

Current illness

Denies

Medical history

DM II

Other medications

Atorvastatin, Jardiance, Lisinopril, Januvia

Allergies

Percocet

Lab data

Flu neg COVID neg Random glucose 82