Report #2865484

Received Oct 13, 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: 58 yrs
State: CA
Recovered: Recovered
Vaccinated: Oct 9, 2025
Onset: Oct 10, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	N/A	3052583	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	N/A	U8832AA	IM / LA

Symptoms (2)

Face oedemaUrticaria

Symptom narrative

Facial Edema and hives all over body

Medical history

DM, HTN, Hyperlipidemia

Other medications

Potassium, metoprolol, hctz, metfomin, omeprazole, claritin, vit c, iron

Allergies

peanut, walnut

Lab data

Vital signs and airway monitoring in the ER.