Report #2871759

Received Nov 10, 2025

Office 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: 82 yrs
State: CA
Recovered: Recovered
Vaccinated: Oct 21, 2025
Onset: Oct 22, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	NA4457	IM / RA

Symptoms (2)

InsomniaRestless legs syndrome

Symptom narrative

Systemic: Patient reports restless leg syndrome symptoms.-Medium, Systemic: Unable to Sleep-Medium, Other Vaccines: VaccineTypeBrand: Fluad 2025-2026 Syringe; Manufacturer: Seqirus, Inc.; LotNumber: 407241; Route: IM; BodySite: Left arm; Dose: 1; VaxDate: 10/21/2025

Allergies

NKDA