Report #2875629

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: 63 yrs
State: IL
Recovered: Unknown
Vaccinated: Nov 21, 2025
Onset: Nov 22, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	MY9550	IM / RA

Symptoms (4)

Abdominal discomfortAbdominal painDiverticulitisNausea

Symptom narrative

Systemic: Abdominal Pain-Medium, Systemic: Diverticulitis-Medium, Systemic: Nausea-Medium, Additional Details: Patient husband presented to the pharmacy to pick up prescriptions to manage diverticulitis that were prescribed for patient. Explained they went to provider to be seen for stomach upset and nausea and were diagnosed with likely diverticulitis related to a recent COVID vaccine. Patient has had Moderna brand vaccines previously and tolerated in 2021, 2022, and 2023, Other Vaccines: VaccineTypeBrand: Influenza (Flucelvax); Manufacturer: Seqirus; LotNumber: 409108; Route: Intramuscular; BodySite: Left Arm; Dose: ; VaxDate: UNKNOWN

Allergies

Progesterone, Codeine, Sulfa Drugs