Report #2876831

Received Dec 8, 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: 82 yrs
State: MI
Recovered: Not recovered
Vaccinated: Nov 24, 2025
Onset: Nov 24, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	UNK	3052732	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	UNK	u8874aa	IM / LA
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	zb7dj	IM / RA

Symptoms (4)

AstheniaDiarrhoeaPruritusRash

Symptom narrative

Starting 4 hours after shot had severe diarrhea, no vomiting, as of conversation 11/28 she was still very weak, as of conversation 12/8 is still itching all over, says she has broken out with white crusty material on feet

Current illness

None

Medical history

Previous heart murmur

Other medications

Diltiazem ER 360mg, Potassium Cl 10mEq, Ferrous Sulfate 325mg EC, Omeprazole 40mg, Temazepam 30mg

Allergies

Ketamine

Lab data

None