Report #2868172

Received Oct 24, 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: 92 yrs
State: NJ
Recovered: Unknown
Vaccinated: Oct 7, 2025
Onset: Oct 13, 2025
Days to onset: 6
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUBLOK)	SANOFI PASTEUR	N/A	U8823BA	IM / LA

Symptoms (2)

HeadacheImaging procedure

Symptom narrative

PT reported onset of headache on the morning of Oct 15, 2025

Current illness

Unknown to form submitter

Medical history

Unknown to form submitter

Other medications

Unknown to form submitter

Allergies

Unknown to form submitter

Lab data

Pt was seen by her cardiologist who ordered neuro imaging . patient reports that the tests did not show any bleeding. Formal report was not reviewed by me.