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Report #2844278

Received Jun 8, 2025

Office visitDisabled
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
Male
Age
76 yrs
State
CA
Recovered
Not recovered
Vaccinated
May 17, 2025
Onset
May 17, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH7+ME6072IM / LA

Symptoms (6)

Back painMuscle injuryNeck painPain in extremityProduct administered at inappropriate siteSkeletal injury

Symptom narrative

Shortly after vaccine administration, patient began experiencing severe upper arm, neck and back pain on a scale of 8 out of 10. Pharmacist (redacted name) confirmed administration was too high up on arm and probably adversely impacted either deltoid muscle or bone. Patient saw PCP on 05/23/2025 and again on 06/12/2025 to discuss ongoing severe pain. PCP also confirmed injury was either to deltoid muscle or bone due to improper vaccine administration too high up on arm. Vaccine site was 2 fingers below top of shoulder. Pain continues at level 8 out of 10.

Current illness

none

Medical history

high cholesterol & blood pressure (under control with medication.

Other medications

Rosuvastatin, Losartan, Aspirin, OAD, D3

Allergies

Cipro

Lab data

05/23/2025 primary care physician visit to make diagnosis; 06/12/2025 primary care physician visit to confirm diagnosis.