Report #2874886

Received Nov 25, 2025

ER / ED 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: 65 yrs
State: WI
Recovered: Unknown
Vaccinated: Oct 2, 2025
Onset: Oct 2, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3052586	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	UNK	407246	IM / LA

Symptoms (3)

Back painChest discomfortDyspnoea

Symptom narrative

chest tightness, shortness of breath and back pain