Report #2872317

Received Nov 12, 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: 75 yrs
State: —
Recovered: Recovered
Vaccinated: Oct 27, 2025
Onset: Oct 27, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	N/A	3053669	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUAD)	SEQIRUS, INC.	N/A	407273	IM / RA

Symptoms (8)

Balance disorderChillsEye painFatigueHeadacheHyperhidrosisPainTremor

Symptom narrative

Chills, uncontrolled shaking, sever headache, body aches, unsteady on her feet. everything was a " jumble" sweating, eye pain, fatigue

Current illness

N/A

Medical history

Postablative hypothyroidism (Chronic) ICD-10-CM: E89.0 Breast pain, right ICD-10-CM: N64.4 Graves disease ICD-10-CM: E05.00 Vulval lesion ICD-10-CM: N90.89 Mixed hyperlipidemia ICD-10-CM: E78.2 Post-menopause on HRT (hormone replacement therapy) ICD-10-CM: Z79.890 Bartholin gland cyst ICD-10-CM: N75.0 Acute pain of right knee ICD-10-CM: M25.561

Other medications

Outpatient Medications aspirin 81 MG tablet take 81 mg by mouth Daily. ? ? Historical Provider Calcium Carb-Cholecalciferol (CALCIUM 600 + D PO) take 1 Tab by mouth Daily. ? ? Historical Provider cholecalciferol (VIT

Allergies

N/A

Lab data

N/A