Report #2856290

Received Sep 1, 2025

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: 59 yrs
State: AL
Recovered: Recovered
Vaccinated: Oct 30, 2021
Onset: Oct 30, 2021
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	not known	IM / UN

Symptoms (6)

ArthralgiaFatigueFeeding disorderLethargyMalaisePain

Symptom narrative

Systemic: Exhaustion / Lethargy-Mild, Systemic: Joint Pain-Mild, Additional Details: pt was asked if wanted a vaccine. he said last time he took two shots here was sick for 7 days. had aches and pain, could not eat. shot is so old i cannot pull up anything, but pt wanted it documented., Other Vaccines: VaccineTypeBrand: flucelvax; Manufacturer: ; LotNumber: ; Route: ; BodySite: ; Dose: ; VaxDate: UNKNOWN