Report #2879145

Received Dec 22, 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: 57 yrs
State: AL
Recovered: Unknown
Vaccinated: Dec 9, 2025
Onset: Dec 10, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19-2	COVID19 (COVID19 (MODERNA BIVALENT))	MODERNA	UNK	3052583	IM / RA

Symptoms (6)

Eye swellingMouth swellingPruritusPyrexiaSwelling faceSwollen tongue

Symptom narrative

Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Fever-Mild