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Report #2870553

Received Nov 4, 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
86 yrs
State
WI
Recovered
Recovered
Vaccinated
Oct 31, 2025
Onset
Nov 1, 2025
Days to onset
1
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA13052835IM / LA

Symptoms (5)

Abdominal pain upperAstheniaLoss of consciousnessMalaisePyrexia

Symptom narrative

Patient received Spikevax on 10/31/2025 and became very ill on 11/01/2025. She reports having a fever, weak, stomach pain, and almost passed out twice. She was see at the local hospital and fluids were administered and tests were ran. She is feeling back to normal at time of call on 11/03/2025.

Current illness

Unknown

Medical history

Unknown

Other medications

Unknown

Allergies

Unknown