Report #2865714

Received Oct 14, 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: 97 yrs
State: KS
Recovered: Recovered
Vaccinated: Oct 6, 2025
Onset: Oct 7, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3052784	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	UNK	UT8804AA	IM / RA

Symptoms (4)

PallorRashRash erythematousRash pruritic

Symptom narrative

Non-palpable, erythematous yet blanchable patches along Left bra line and between shoulderblades. Rash originally reported to be pruritic, though this has diminished significantly since onset and has never been bothersome to patient, only noticeable.

Current illness

None

Medical history

HTN, Pre-diabetes, Fuch's Dystrophy, Afib, HLD, CAD

Other medications

Metformin, Metoprolol tartrate, Fluoromethalone (opthalmic), Lisinopril, Eliquis, Famotidine, Amlodipine besylate, multivitamin, Miralax, Ocuvite Preservision, Digoxin, HCTZ,

Allergies

None