Report #2869739

Received Oct 31, 2025

ER / ED visit

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Overview

Sex: Female
Age: 82 yrs
State: FL
Recovered: Recovered
Vaccinated: Oct 24, 2025
Onset: Oct 27, 2025
Days to onset: 3
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	na0590	IM / UN
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	1	ut8781da	IM / UN

Symptoms (3)

ContusionLoss of consciousnessSwelling face

Symptom narrative

On Monday 10/27 at 8PM patient passed out and hit her head. She was taken to the hospital and checked out. She checked out ok, nothing broken however her face is swollen and bruised. She is concerned because she got Pfizer instead of the Moderna formulation.

Current illness

none

Medical history

hypothyroid, osteoporosis, hypertension

Other medications

B-12, l-lysine, Areds 2, vitamin D-3,

Allergies

sulfa drug allergy

Lab data

Trip to ER - Patient is recovering at home.