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Report #2877906

Received Dec 15, 2025

Life-threateningHospitalizedER / 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
82 yrs
State
VA
Recovered
Unknown
Vaccinated
Nov 13, 2025
Onset
Dec 12, 2025
Days to onset
29
Hospital days
3

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNA13052738IM / RA

Symptoms (3)

Computerised tomogram thorax abnormalPulmonary embolismScan with contrast abnormal

Symptom narrative

Bilateral Pulmonary Emboli (Saddle PEs)

Current illness

None

Medical history

hypertension, depression, anxiety, GERD, hyperlipidemia, DJD with severe multilevel lumbar spinal stenosis on MRI scan Stroke, February 2019, no residual, obstructive sleep apnea, history of migraine headaches, macular degeneration, remote injection in the right eye, history of hypothyroidism, not on replacement therapy currently

Other medications

hypertension, depression, anxiety, GERD, hyperlipidemia, DJD with severe multilevel lumbar spinal stenosis on MRI scan, Stroke, February 2019, no residual, obstructive sleep apnea, history of migraine headaches, macular degeneration, remote

Allergies

Dexilant, Duloxetine, Effexor, Gabapentin, Levaquin, Sulfa

Lab data

CTA