Report #2872591

Received Nov 13, 2025

ER / ED visitOffice 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: 55 yrs
State: IL
Recovered: Recovered
Vaccinated: Nov 10, 2025
Onset: Nov 11, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052835	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	1	U8881CA	IM / RA

Symptoms (8)

Blood glucoseChest X-rayDyspnoeaFull blood countGeneralised oedemaHypoaesthesiaMuscle twitchingRash

Symptom narrative

Patient says she had swelling of her whole body and numbness all over her body with muscle twitching in her legs, started 12 hours after receipt of her Flu shot. Says she had shortness of breath and few bumps on her face and neck. Denied chest pain or weakness. Says she went to Hospital on 11/11/25 at 1.00AM - received Gabapentin 1 tablet. Says all her symptoms resolved within 24 hours. She admits to taking Benadryl 1 capsule on 11/12/25 night. She had a televisit on 11/12/25 with Dr. and was seen in the clinic on 11/13/25 by Dr. with no symptoms. Her vitals and physical exam were normal on 11/13/25. She was discharged home with no new medications. Advised to call or go to ER if has SOB, chest pain or swelling.

Current illness

Diabetes, Hypertension and back pain

Medical history

Diabetes, Hypertension, Bipolar disorder and back pain

Other medications

Motrin, Lamotrigine, Tramadol, Atorvastatin and Pregabalin

Allergies

CIPRO

Lab data

CBC, Bl. Sugar and Chest Xray done on 11/11/25 - results are unavailable