Report #2895897

Received May 8, 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: 80 yrs
State: —
Recovered: Unknown
Vaccinated: May 5, 2026
Onset: May 6, 2026
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	UNK	—	—

Symptoms (4)

Body temperature increasedMalaiseVaccination site reactionVaccination site warmth

Symptom narrative

Redness/ warmth at vaccination site, malaise, elevated temperature

Current illness

N/A

Medical history

Respiratory obstruction Disorder of vocal cord Diffuse spasm of esophagus Trigeminal nerve motor disorder Ptosis of eyebrow Osteoarthritis Osteoporosis Allergic rhinitis Dry eyes Multiple nodules of lung Enthesopathy of ankle and tarsus Actinic keratosis Hearing loss Carpal tunnel Urinary incontinence Hyperlipidemia Thyroid nodule Malignant neoplasm of female breast

Other medications

1) AMMONIUM LACTATE 12% LOTION APPLY MODERATE AMOUNT TOPICALLY ACTIVE (S) EVERY DAY FOR DRY SKIN Indication: DRY SKIN 2) ATORVASTATIN CALCIUM 10MG TAB TAKE ONE-HALF TABLET BY MOUTH ACTIVE (S) MONDAY AND THURSDAY F

Allergies

Allergies: CEFTIN, PRAVASTATIN, LIPITOR, GABAPENTIN, RESTASIS, MODERNA COVID-19 VACCINE (EUA)

Lab data

n/a

Prior vaccinations

Moderna COVID, redness/ malaise