Report #2870747

Received Nov 5, 2025

Died

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: 76 yrs
State: NC
Recovered: Not recovered
Vaccinated: Oct 16, 2025
Onset: Oct 17, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3052671	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUAD)	SEQIRUS, INC.	UNK	407981	IM / RA

Symptoms (4)

Anal incontinenceBalance disorderFood refusalUrinary incontinence

Symptom narrative

A FEW DAYS FOLLOWING VACCINES RESIDENT BACAME UNSTUDY ON FEET NOT WANTING TO GET OUT OF BED BECAME INCONTENT OF BOWEL AND BLADDER STARTED REFUSING MEDS LIGUIDS AND FOOD

Current illness

Dementia, Psychosis in the Elderly, Anxiety Disorder

Medical history

See Above

Other medications

Zyprexa, Senna, Thiamine, Lorazepam, Tylenol

Allergies

Aspirin, Cephalexin, Adhesive Tape, Levofloxacin, latex, Betadine, Percocet, Afluria, Afluria Quad