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Report #2856412

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
12 yrs
State
FL
Recovered
Not recovered
Vaccinated
Aug 26, 2025
Onset
Aug 26, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLUC4INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)SEQIRUS, INC.1406982IM / LA

Symptoms (6)

Injected limb mobility decreasedInjection site bruisingInjection site painInjection site swellingParaesthesiaShoulder injury related to vaccine administration

Symptom narrative

Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: The patient is 12 years old and who came into pharmacy tonight with his mother. He received the vaccine on August 26,2025 which is Tuesday of this week. The 12 year old patient is experiencing SIRVA shoulder injury related to vaccine adiminstration. He cannot lift his left arm barely at all, his movement is restricted and limited, he is experiencing pain at the injection site, there is some mild to moderate swelling present. Pain and restricted movement left arm.

Allergies

n/a