Report #2880788

Received Jan 6, 2026

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: 72 yrs
State: NC
Recovered: Unknown
Vaccinated: Jan 5, 2026
Onset: Jan 5, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	8146743	IM / LA

Symptoms (2)

Expired product administeredNo adverse event

Symptom narrative

Vaccine was thawed by company and sent to Health Center. Reported BUD by company is 01/03/2026. Patient was given vaccine with BUD of 01/03/2026 on 01/06/2026; No adverse events, treatments, or outcomes to report at this time.

Current illness

N/A

Medical history

-Hyperlipidemia -Cervical Spine Surgery -Generalized Anxiety Disorder -Essential Hypertension -Carpal Tunnel Syndrome of Right Wrist -Anemia

Other medications

-Aspirin 81 mg chewable tablet daily -Atorvastatin (LIPITOR) 80 mg tablet daily -Cholecalciferol (VITAMIN D-3) 50 mcg (2,000 unit) capsule daily -Diclofenac sodium (SOLARAZE) 3 % gel twice daily -Esomeprazole (NEXIUM) 40 mg DR capsule dai

Allergies

N/A