Report #2880619

Received Jan 5, 2026

Office 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: 78 yrs
State: MI
Recovered: Not recovered
Vaccinated: Jan 30, 2025
Onset: Feb 1, 2025
Days to onset: 2
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
PNC21	PNEUMO (CAPVAXIVE)	MERCK & CO. INC.	UNK	—	—

Symptoms (12)

Abdominal pain upperBack painBrain fogDizzinessElectrocardiogramElectromyogramFeeling hotMemory impairmentPhotophobiaPruritusTilt table testVascular test

Symptom narrative

Dizziness, Fogginess, Forgetfulness, Pain and itching on the right side of my body in the back and stomach area, Itching in the head area, Extremely warm feeling from my ankles to my knees, Extreme sensitivity to light

Current illness

Arthritis - Scoliosis - Hernia

Medical history

Arthritis - Scoliosis - Hernia

Other medications

Amlodipine Atorvastatin /10-20mg Tumeric - Magnesium

Allergies

Penicillin

Lab data

Electrocardiogram 8/12/2025 - Electromyogram 10/17/2025 - Tilt Table Test 10/28/2025 - Circulation Test 11/25/2025

Prior vaccinations

Penicillin