Report #2869211

Received Oct 28, 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: 60 yrs
State: MI
Recovered: Not recovered
Vaccinated: Oct 24, 2025
Onset: Oct 25, 2025
Days to onset: 1
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	8146670	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUCELVAX)	SEQIRUS, INC.	UNK	409415	IM / LA
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	UNK	MA2506	IM / RA
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	7YD42	IM / RA

Symptoms (3)

PainPyrexiaUrinary incontinence

Symptom narrative

Patient called to ask what vaccines she received in the left arm (covid and flu) because she developed a red circular rash that is not hard and not soft, painful and itchy that she noticed today 10/28. She was counseled on self care and to follow up with primary care provider. She also reported that she went to the ER on Saturday 10/25 due to fever of 102 F, body aches and could not get to the bathroom she peed herself per self report. Patient stated that she got scared and went to the ER because she does have chronic kidney disease. Per patient, per ER they attributed the symptoms to the side effects of receiving vaccinations. They provided her follow up instructions of taking fluids, tylenol and advil.

Current illness

Did not ask patient

Medical history

Chronic Kidney Disease

Other medications

Did not ask patient

Allergies

Sulfa

Lab data

Unknown