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Report #2870557

Received Nov 4, 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
69 yrs
State
WA
Recovered
Not recovered
Vaccinated
Nov 3, 2025
Onset
Nov 3, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNAN/A3052996IM / LA

Symptoms (1)

Ataxia

Symptom narrative

Patient states that she began having symptoms of ataxia 10 hours after receiving the vaccine and it continued into the following morning.

Current illness

No known illnesses

Medical history

Unknown

Other medications

Unknown, she does not fill with pharmacy.

Allergies

Latex, Tetanus vaccine

Lab data

None

Prior vaccinations

Tetanus at age 12