Report #2867572

Received Oct 22, 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: 78 yrs
State: MN
Recovered: Recovered
Vaccinated: Sep 25, 2025
Onset: Oct 21, 2025
Days to onset: 26
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	N/A	—	IM / RA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Patient did not report receiving covid immunization the previous month. No adverse events noted after monitoring patient. Patient educations on sign/symptoms to monitor for by provider

Current illness

None noted

Medical history

Hypertension, Type 2 diabetes, hx modified radical mastectomy,

Other medications

Lisinopril 20 mg, Lovastatin 20 mg, Meformin 500 mg, Arimidex 1 mg, Aspirin 81 mg, Ibuprofen 200 mg, Multivitamin, Omega 3 fatty acid

Allergies

No Known Allergies