Report #2866497

Received Oct 16, 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: 74 yrs
State: IL
Recovered: Unknown
Vaccinated: Oct 5, 2025
Onset: Oct 10, 2025
Days to onset: 5
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	N/A	3052669	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUAD)	SEQIRUS, INC.	N/A	407242	—

Symptoms (2)

Back painPain in extremity

Symptom narrative

patient stated she started having sharp pains in her arm and back 5 days after receiving vaccine