Report #2867440

Received Oct 21, 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: 88 yrs
State: MN
Recovered: Not recovered
Vaccinated: Oct 15, 2025
Onset: Oct 1, 2025
Days to onset: —
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	NA0587	IM / LA

Symptoms (3)

CoughDiarrhoeaSARS-CoV-2 test negative

Symptom narrative

Cough, diarrhea

Current illness

none

Medical history

N/A

Other medications

acetaminophen 500 mg capsule 3 Times Daily , Eliquis 5 mg tablet 2 Times Daily, atorvastatin 40 mg tablet Every 1 Day, Superplex-T tablet Every 1 Day sennosides 8.6 mg-docusate sodium 50 mg tablet Every 1 Day, PRN 1 Time Daily

Allergies

Guaifenesin, Levofloxacin

Lab data

Antigen Covid test, Negative result.