Report #2867046

Received Oct 20, 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: 74 yrs
State: TX
Recovered: Unknown
Vaccinated: Oct 9, 2025
Onset: Oct 10, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	1	3052734	IM / LA

Symptoms (1)

Rash

Symptom narrative

Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: rash on chest-Mild, Additional Details: patient did not complain of any injection site reaction but system would not let me proceed without putting so

Allergies

nka