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Report #2880533

Received Jan 4, 2026

DiedHospitalizedER / 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
64 yrs
State
MA
Recovered
Not recovered
Vaccinated
Nov 23, 2025
Onset
Nov 29, 2025
Days to onset
6
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH7+NA4457IM / AR
FLU3INFLUENZA (SEASONAL) (FLUCELVAX)SEQIRUS, INC.7+948421—
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALS299D52IM / AR

Symptoms (5)

Cardiac arrestCoughNasopharyngitisRespiratory arrestRespiratory tract congestion

Symptom narrative

Patient developed head cold stuffiness symptoms on 11/26/25, developed a cough on 11/27/25. Was found in respiratory and cardiac arrest on 11/29/25

Current illness

None,

Medical history

Htn, DM2

Other medications

Amlodipine, jardiance, minoxidil, trulicity

Allergies

None

Lab data

Sent to Hospital via transport in cardiac arrest,