Report #2866009

Received Oct 15, 2025

Office 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: 70 yrs
State: MT
Recovered: Recovered
Vaccinated: Oct 15, 2025
Onset: Oct 15, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052734	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	1	UT8794CA	IM / RA

Symptoms (1)

Urticaria

Symptom narrative

Hives all over body.

Current illness

UTI

Medical history

asthma, depression and seasonal allergies

Other medications

Levothyroxine, acyclovir, sertraline, aripiprazole, budesonide-formoterol, tolterodine, and atorvastatin,

Allergies

Penicillins, peanuts, cilantro, msg and sulfa antibiotics.

Lab data

None