Report #2868755

Received Oct 27, 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: 84 yrs
State: MD
Recovered: Recovered
Vaccinated: Oct 9, 2025
Onset: Oct 10, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052671	IM / LA

Symptoms (2)

ChillsTremor

Symptom narrative

Repots violent shaking/rigors lasting approx 1 hour

Current illness

None

Medical history

unknown

Other medications

unknown

Allergies

unknown

Lab data

N/A