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Report #2904819

Received Jul 27, 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
CA
Recovered
Recovered
Vaccinated
Jul 15, 2026
Onset
Jul 16, 2026
Days to onset
1
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19-2COVID19 (COVID19 (MODERNA BIVALENT))MODERNA13053824IM / LA

Symptoms (19)

Abdominal painAstheniaCardiac disorderDiarrhoeaDizzinessFatigueHeadacheHypertensionInjection site bruisingInjection site erythemaInjection site painInjection site pruritusInjection site swellingJoint injuryLethargyMyocardial infarctionSyncopeUnresponsive to stimuliVomiting

Symptom narrative

Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Mild, Systemic: Abdominal Pain-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Medium, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Headache-Medium, Systemic: Heart Attack-Medium, Systemic: Hypertension-Medium, Systemic: Vomiting-Medium, Systemic: Weakness-Medium

Allergies

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