Report #2896301

Received May 12, 2026

ER / ED visitOffice 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: 89 yrs
State: PA
Recovered: Recovered
Vaccinated: Apr 29, 2026
Onset: Apr 30, 2026
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	4	NA4459	IM

Symptoms (17)

AstheniaBlood glucose increasedBlood magnesium normalChest X-ray normalComputerised tomogram head normalComputerised tomogram spine abnormalCraniocerebral injuryDehydrationElectrocardiogramFallLymphocyte count increasedNauseaNeutrophil percentage increasedProtein urine presentSpinal osteoarthritisTroponinVomiting

Symptom narrative

04/30/2026: sent via 911 ambulance To Er for evaluation following a fall, : generally weak, Dx. Fall Nausea and Vomiting, Dehydration, and on 05/01/2026: sent via 911 ambulance: fall: hit head, dx. fall, closed head injury

Current illness

4/24/2026: Chest pain, HA, Fatigue, 4/27/2026: Gi virus

Medical history

HTN, Hypercholesterolemia, GERD, Macular degeneartion, Vitamine D deficiency, CAD, CKD 3b, SSS, Pacemaker,OP, OAB, Impaired glucose tolerance, syncope, constipation

Other medications

Lidocaine pain relief patch 4 % film, Dorzolamide ophthalmic 2% solution, Loperamide 2mg , Systane Ultra solution, Timolol Maleate ophthalmic 0.5% Myrbetriq 50mg, Lumigan 0.01% solution, esomeprazole 20mg, Vit D3, Total B with C vitamin, c

Allergies

Amoxicillin, Ciprofloxacin, Celebrex, Tetracycline, aspirin

Lab data

4/30/2026: EDG: Atrial paced at 60, Chem profile: glucose 11, magnesium 1.8, CBC; netrophils relative 78, lymphocytes 11.8, troponin 17, urine trace protein, 05/01/2026: Chest x-ray: no acute abnormality CT head: no brain or skull injury, no change from prior study, CT cervical: OA changes with reversal of cervical lordosis consistent with muscular spasm, no acute fracture.

Prior vaccinations

10/24/2025: Spikevax 12+ covid 2025-26