Report #2868555

Received Oct 27, 2025

ER / ED 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: 82 yrs
State: MA
Recovered: Unknown
Vaccinated: Oct 17, 2025
Onset: Oct 17, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19-2	COVID19 (COVID19 (MODERNA BIVALENT))	MODERNA	1	3053669	IM / LA

Symptoms (3)

Cardiac disorderCardiac failureCondition aggravated

Symptom narrative

Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Additional Details: Patients son called the pharmacy to report that patient had gone to the ER with a heart failure exacerbation, symptoms started after leaving the pharmacy when she recived the two vaccines. Pateint is currently in the hospital. , Other Vaccines: VaccineTypeBrand: FLUZONE High-Dose; Manufacturer: Sanofi-Pasteur; LotNumber: U8859AA; Route: IM; BodySite: Left Deltoid; Dose: 1; VaxDate: 10/17/2025