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Report #2904819

Received Jul 27, 2026

Office visit

Reports are unverified and do not show that a vaccine caused an event. 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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