Report #2875623

Received Dec 1, 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: VA
Recovered: Recovered
Vaccinated: Sep 23, 2025
Onset: Sep 23, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU4	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT)	SANOFI PASTEUR	1	ut8781ca	IM / LA

Symptoms (10)

Anaphylactic reactionDysphagiaEye swellingLymphadenopathyMouth swellingParaesthesiaRashSwelling faceSwollen tongueThroat tightness

Symptom narrative

Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Lymph Node Swelling-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Other Vaccines: VaccineTypeBrand: fluzone; Manufacturer: sanofi -pasteur; LotNumber: ut8781ca; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN

Allergies

No allergy reported