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Report #2892379

Received Apr 10, 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
91 yrs
State
IA
Recovered
Unknown
Vaccinated
Mar 30, 2026
Onset
Apr 3, 2026
Days to onset
4
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
PNC21PNEUMO (CAPVAXIVE)MERCK & CO. INC.2Z013321IM / RA

Symptoms (4)

Peripheral swellingPruritusRashRash macular

Symptom narrative

On Friday the third she woke up during the night without arm itching and on Saturday when she woke up and looked in the mirror it was red and blotchy and swollen. She denies any swelling of the eyelid or lips denies any trouble breathing at all she has done some ice to the area

Medical history

seizure disorder, RLS, dyspnea, hypertensive, hyperlipidemia, carotid artery disease, paroxysmal a-fib,

Other medications

Eliquis 2.5mg, Atorvastatin 10mg, calcium 500, vitamin d3, Cardizem 300mg, Lexapro 10mg, ferrous 325mg, Lasix 40mg, hydroxyzine 25mg, Keppra 500mg, Claritin 10mg, losartan 100mg, magnesium oxide 250 mg, metoprolol 50 mg, macrodontia 50mg, n

Allergies

HCTZ- Hives, Influenza vaccine- hives/rash, iodine- intolerance hypertension, contrast dye- elevated blood pressure, pneumococcal- itching, swelling and rash. Statins- myalgia/myopathy, sulfa antibiotics- hives and swelling. Prednisone-edema. Zithromax- severe GERD

Prior vaccinations

hives, rashing swelling see allergy list