Report #2865406

Received Oct 13, 2025

Hospitalized

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: 84 yrs
State: FL
Recovered: Unknown
Vaccinated: Sep 22, 2025
Onset: Sep 24, 2025
Days to onset: 2
Hospital days: 6

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	1	3052154	IM / RA

Symptoms (4)

Confusional stateFallHallucinationPyrexia

Symptom narrative

Systemic: Confusion-Severe, Systemic: Fever-Mild, Systemic: had hallucinations and fell-Severe, Additional Details: daughter has complained that all 4 shots at once has caused her mother to have hallucination and to fall. been hospitalized twice since had shots on 9/22. , Other Vaccines: VaccineTypeBrand: Fluzone High dose; Manufacturer: Sanofi-pasteur; LotNumber: ut8820ca; Route: IM; BodySite: left arm; Dose: 1; VaxDate: 09/22/2025, VaccineTypeBrand: prevnar 20; Manufacturer: wyeth/pfizer; LotNumber: ma2505; Route: IM; BodySite: right arm; Dose: 1; VaxDate: 09/22/2025, VaccineTypeBrand: abrysvo act-o-vial; Manufacturer: pfizer; LotNumber: mm9159; Route: IM; BodySite: left arm; Dose: 1; VaxDate: 09/22/2025