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Report #2866030

Received Oct 15, 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
71 yrs
State
MO
Recovered
Recovered
Vaccinated
Oct 14, 2025
Onset
Oct 14, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUAD)SEQIRUS, INC.N/A407252IM / AR

Symptoms (5)

DizzinessErythemaNauseaPainScreaming

Symptom narrative

(name withheld) PharmD. gave the vaccine. Suddenly the patient stated she was feeling dizzy and she noted that her face was red. she stated she was nauseated. She stood up and started walking toward the bathroom. PharmD. followed her and she was locked in a stall screaming in pain. She finally unlocked the door, PharmD. asked someone to call 911, and she administered one dose of an epi-pen into the upper left thigh. PharmD. noted that the epinephrine calmed her and she believe it helped. EMTs transported her to (name withheld) Hospital for evaluation. Afterward a co-worker stated that she thought she had a reaction to the covid shot at some point, but that was not check on consent form.

Current illness

unknown

Medical history

unknown

Other medications

unknown

Allergies

nkda

Lab data

Pt was taken to (name withheld) Hospital for Evaluation and discharged. I do not have this medical record, but spoke with the patient 10/15/25 and she said she was released and they concluded this was an allergic type reaction.