Report #2879116

Received Dec 22, 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: 77 yrs
State: FL
Recovered: Recovered
Vaccinated: Dec 8, 2025
Onset: Dec 8, 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	UT8804BA	IM / RA

Symptoms (5)

ChillsFibrin D dimer increasedGastrooesophageal reflux diseasePyrexiaTremor

Symptom narrative

Systemic: Chills-Severe, Systemic: Fever-Mild, Systemic: Shakiness-Severe, Additional Details: Elevated D-Dimer Severe Acid Reflux