Report #2868070

Received Nov 24, 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: 53 yrs
State: CA
Recovered: Recovered
Vaccinated: Oct 22, 2025
Onset: Oct 23, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	4	—	IM / RA
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	1	3052581	IM / LA

Symptoms (5)

ChillsHeadacheInjection site painMalaisePyrexia

Symptom narrative

Site: Pain at Injection Site-Medium, Systemic: Fever-Severe, Other Vaccines: VaccineTypeBrand: Shingrix; Manufacturer: gsk; LotNumber: G2HA7; Route: IM; BodySite: Right Arm; Dose: 1; VaxDate: 10/22/2025