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Report #2865349

Received Oct 13, 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
72 yrs
State
NJ
Recovered
Recovered
Vaccinated
Sep 30, 2025
Onset
Sep 30, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU4INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT)SANOFI PASTEUR1U8837DAIM / LA

Symptoms (17)

ChillsCyanosisDiarrhoeaDizzinessEye swellingFeeling coldFlushingHeadacheHyperhidrosisInjection site erythemaMalaiseMouth swellingNauseaPainParaesthesiaSwelling faceSwollen tongue

Symptom narrative

Site: Redness at Injection Site-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Severe, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Severe, Systemic: Nausea-Medium, Systemic: Tingling (specify: facial area, extemities)-Severe, Additional Details: patient got vaccine at 10:15am, said felt sick from 1 to 5:30pm, was very cold and warmed up around 8pm. had purple swollen mouth

Allergies

morphine, procardia, vasotec, opiods, enalapril, nifeidpine