Report #2871043

Received Nov 6, 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: 68 yrs
State: OR
Recovered: Recovered
Vaccinated: Nov 4, 2025
Onset: Nov 5, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	—	IM / LA

Symptoms (6)

Decreased appetiteErythemaHeadacheLethargyPyrexiaRhinorrhoea

Symptom narrative

At 03:00 on 11/5/2025: Experienced: 1) Fever 2) Chronic Headache 3) Red Face, 4) Runny Nose, 5) No Appetite 6) Severe Lethargy,

Current illness

Runny nose

Medical history

None

Other medications

Aspirin , Estrogen and progesterone

Allergies

NKDA

Lab data

N/A