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Report #2879694

Received Dec 26, 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
58 yrs
State
MI
Recovered
Recovered
Vaccinated
Dec 18, 2025
Onset
Dec 18, 2025
Days to onset
0
Hospital days
—

Vaccines (4)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH3na4457IM / LA
PNC20PNEUMO (PREVNAR20)PFIZER\WYETHUNKmh1447IM / RA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSUNKk4979IM / LA
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALSUNKc9x3rIM / RA

Symptoms (1)

Unevaluable event

Symptom narrative

N/A

Medical history

Dyslipidemia Essential hypertension Coronary artery disease of native artery of native heart with stable angina pectoris PAD (peripheral artery disease) (hcc) S/P Robotic CABG x 1 (LIMA -> LAD) on 8/22/24 Heart failure with reduced ejection fraction History of ST elevation myocardial infarction (STEMI) S/P right coronary artery (RCA) stent placement Limb ischemia Peripheral arterial disease (hcc) Acute on chronic combined systolic and diastolic HF (heart failure), NYHA class 4 type 2 diabetes calculus of gallbladder, stage 3 kidney diseaseAsymptomatic bacteriuria Hematology and Neoplasia Malignant neoplasm of endocervix Acute blood loss anemia Infectious Disease Abscess of back Emphysematous pyelonephritis Osteomyelitis Mental Health Dysthymia Musculoskeletal and Injuries S/P BKA (below knee amputation) unilateral, left Wound infection Dry gangrene Non-healing wound of right lower extremity Neuro Neuropathy (hcc) Skin Cyst of skin Itching Symptoms and Signs Postprocedural hypotension Tobacco Tobacco dependence Other Critical limb ischemia of right lower extremity (HCC)

Other medications

aspirin 81mg, lipitor 80mg, lexapro 20mg, flonase 50mcg, neurontin 600mg, lantus, metformin 500mg, starlix 120mg, nitrostat 0.4mg, prilosec 40mg, zofran 4mg, glycolaz 17mg, entresto 49-51mg, senokot 8.6-50 mg, aldactone 25mg, demadex 20mg,

Allergies

amoxicillin

Lab data

N/A