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Report #2895827

Received May 7, 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
79 yrs
State
MN
Recovered
Not recovered
Vaccinated
May 4, 2026
Onset
May 4, 2026
Days to onset
0
Hospital days

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAN/A3053479IM / LA
FLU3INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)SANOFI PASTEURN/AU8847AALA

Symptoms (15)

Abdominal painChillsDiarrhoeaErythemaFatigueInjection site erythemaInjection site rashInjection site swellingInjection site warmthLimb discomfortPain in extremityPeripheral swellingRash erythematousSkin warmVomiting

Symptom narrative

Rash with Patient received influenza and COVID-19 immunizations at around 1430 on 5/4. Within four hours, she developed chills and left arm discomfort, followed by worsening chills, arm pain, swelling, erythema, and warmth at the injection site. She also experienced abdominal pain with vomiting (3 episodes) and diarrhea, followed by significant fatigue requiring bed rest for approximately two days. Gastrointestinal symptoms and chills have resolved. She continues to report left upper extremity swelling (firm, fluid-filled), pink rash, tenderness, and warmth, with erythema measuring approximately 15.2 cm x 7.6 cm and now extending inferior to the injection site. No lesions or streaking noted. Vital signs stable. No respiratory symptoms, chest pain, or other systemic concerns

Medical history

Primary Osteoarthritis Lumbar Spine Glaucoma Suspect Ocular Hypertension Bilateral Intraocular Lens Implant Status Post Dysphagia Gastroesophageal Reflux Disease Myokymia Flutter Tubular Adenoma Colon Personal History Tear Knee Meniscus Current Initial Left Lichen Sclerosus Menopause Screening Mammogram Average Risk Patient After Cataract Membrane Vision Obscured Right Dermatochalasis Left Upper Eyelid Screening Osteoporosis Thrombosis Deep Vein Personal History Arthroplasty Total Knee Replacement Status Post Left Malignant Neoplasm Of Lower Limb Squamous Cell Carcinoma Left Pain Buttock Preanesthetic Medical Exam Trochanteric Bursitis Left Hip Wound Lower Leg Open Subsequent Left Aftercare Total Knee Arthroplasty Lumbago With Sciatica Left Side Obesity Body Mass Index 30-39.9 Adult Complication Mechanical Prosthetic Joint Total Knee Arthroplasty Initial Left Drug Induced Constipation Atherosclerotic Heart Disease Native Coronary Artery With Other Forms Angina Pectoris (Stable Angina/Angina Of Exertion) Diabetes Mellitus Type 2 Peripheral Neuropathy (HCC) Hernia Abdominal Wall Chronic Diastolic (Congestive) Heart Failure (HCC) Obesity Body Mass Index 30-39.9 Adult Pain Hip Left Dermatochalasis Right Upper Eyelid Ptosis Eyelid Bilateral Brow Ptosis Bilateral Diabetes Mellitus Type 2 With Diabetic Chronic Kidney Disease (HCC) Rash Hyperlipidemia Mixed Hypertensive Heart And Chronic Kidney Disease With Heart Failure And Stage 1 To 4 Chronic Kidney Disease Or Unspecified Chronic Kidney Disease (HCC) Hypothyroidism Primary Atherosclerosis Aortic Stenosis Carotid Artery Left Chronic Kidney Disease Stage 4 Glomerular Filtration Rate 15-29 (HCC) Diabetes Mellitus Type 2 With Diabetic Chronic Kidney Disease (HCC) Hyperparathyroidism Renal Secondary (HCC) Detachment Vitreous Posterior Bilateral

Other medications

acetaminophen (TYLENOL) 500 mg tablet aspirin 81 mg DR tablet blood sugar diagnostic strips (Contour Next Test Strips) calcium carbonate (Tums) 500 mg (200 mg calcium) chewable tablet dapagliflozin propanediol (Farxiga) 10 mg tablet eze

Allergies

Primary Osteoarthritis Lumbar Spine Glaucoma Suspect Ocular Hypertension Bilateral Intraocular Lens Implant Status Post Dysphagia Gastroesophageal Reflux Disease Myokymia Flutter Tubular Adenoma Colon Personal History Tear Knee Meniscus Current Initial Left Lichen Sclerosus Menopause Screening Mammogram Average Risk Patient After Cataract Membrane Vision Obscured Right Dermatochalasis Left Upper Eyelid Screening Osteoporosis Thrombosis Deep Vein Personal History Arthroplasty Total Knee Replacement Status Post Left Malignant Neoplasm Of Lower Limb Squamous Cell Carcinoma Left Pain Buttock Preanesthetic Medical Exam Trochanteric Bursitis Left Hip Wound Lower Leg Open Subsequent Left Aftercare Total Knee Arthroplasty Lumbago With Sciatica Left Side Obesity Body Mass Index 30-39.9 Adult Complication Mechanical Prosthetic Joint Total Knee Arthroplasty Initial Left Drug Induced Constipation Atherosclerotic Heart Disease Native Coronary Artery With Other Forms Angina Pectoris (Stable Angina/Angina Of Exertion) Diabetes Mellitus Type 2 Peripheral Neuropathy (HCC) Hernia Abdominal Wall Chronic Diastolic (Congestive) Heart Failure (HCC) Obesity Body Mass Index 30-39.9 Adult Pain Hip Left Dermatochalasis Right Upper Eyelid Ptosis Eyelid Bilateral Brow Ptosis Bilateral Diabetes Mellitus Type 2 With Diabetic Chronic Kidney Disease (HCC) Rash Hyperlipidemia Mixed Hypertensive Heart And Chronic Kidney Disease With Heart Failure And Stage 1 To 4 Chronic Kidney Disease Or Unspecified Chronic Kidney Disease (HCC) Hypothyroidism Primary Atherosclerosis Aortic Stenosis Carotid Artery Left Chronic Kidney Disease Stage 4 Glomerular Filtration Rate 15-29 (HCC) Diabetes Mellitus Type 2 With Diabetic Chronic Kidney Disease (HCC) Hyperparathyroidism Renal Secondary (HCC) Detachment Vitreous Posterior Bilateral