Report #2875518

Received Nov 30, 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: 74 yrs
State: CA
Recovered: Unknown
Vaccinated: Nov 11, 2025
Onset: Nov 17, 2025
Days to onset: 6
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	UNK	3052736	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	UNK	UT8829AA	IM / LA

Symptoms (1)

Oral herpes

Symptom narrative

PER PATIENT SHE STARTED GETTING FEVER BLISTERS ON LEFT LIP. SHE DID NOT HAVE TO GO TO THE MD AND DID NOT TREATMENT ONLY USED OTC PRODUCTS.

Current illness

N/A

Medical history

N/A

Other medications

N/A

Allergies

N/A

Lab data

N/A