Report #2851728

Received Jul 29, 2025

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: Male
Age: 57 yrs
State: FL
Recovered: Not recovered
Vaccinated: Oct 12, 2024
Onset: Nov 1, 2024
Days to onset: 20
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	8080799	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	1	A555J	IM / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	9YB4G	IM / RA

Symptoms (1)

Injected limb mobility decreased

Symptom narrative

Left Arm loss of motion

Current illness

Medical history

Diabetes, High blood pressure

Other medications

Novalog Flex Pen

Allergies

Sulfa Based Drugs