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Report #2900616

Received Jun 18, 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
MI
Recovered
Recovered
Vaccinated
Jun 10, 2026
Onset
Jun 11, 2026
Days to onset
1
Hospital days

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA53054592IM / LA

Symptoms (1)

Pyrexia

Symptom narrative

Low grade temp

Medical history

G21.4 Vascular parkinsonism(Primary), E11.51 Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene, F43.10 Post-traumatic stress disorder, unspecified-complex, G89.4 Chronic pain syndrome, N40.1 Benign prostatic hyperplasia with lower urinary tract symptoms-nocturia, Z98.84 Bariatric surgery status-Hx Roux-en-y bypass Sx, M17.0 Bilateral primary osteoarthritis of knee, I73.9 Peripheral vascular disease, unspecified, D51.9 Vitamin B12 deficiency anemia, unspecified, K21.9 Gastro-esophageal reflux disease without esophagitis, Z79.891 Long term (current) use of opiate analgesic, L60.3 Nail dystrophy, M15.0 Primary generalized (osteo)arthritis, M1A.49X0 Other secondary chronic gout, multiple sites, without tophus (tophi)-d/t renal impairment, M25.511 Pain in right shoulder, K52.9 Noninfective gastroenteritis and colitis, unspecified-chronic diarrhea, L20.84 Intrinsic (allergic) eczema, D53.9 Nutritional anemia, unspecified-macrocytic, E78.2 Mixed hyperlipidemia, B37.2 Candidiasis of skin and nail, F01.50 Vascular dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety, L20.9 Atopic dermatitis, unspecified, M25.539 Pain in unspecified wrist-Per resident, N39.0 Urinary tract infection, site not specified-recurrent, G47.33 Obstructive sleep apnea (adult) (pediatric)-Wears C-Pap, E55.9 Vitamin D deficiency, unspecified-lab value, M67.813 Other specified disorders of tendon, right shoulder, Z96.651 Presence of right artificial knee joint, Z96.652 Presence of left artificial knee joint, Z87.820 Personal history of traumatic brain injury, J30.2 Other seasonal allergic rhinitis(History of), H04.123 Dry eye syndrome of bilateral lacrimal glands

Other medications

Tylenol 500mg Q 4 hours prn, Acidophilus 1 bid, allopruinol 100mg daily, artificial tears 1-2 drops bilateral eyes bid, buprenophine patch 20mcg/hour 1 patch transdermal changed weekly, carbidopa-levodopa-entacapoe 50-200-200mg 1 tab bid an

Allergies

Lipitor (intolerance): Plastic tape