Report #2857156

Received Sep 7, 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: 64 yrs
State: CO
Recovered: Unknown
Vaccinated: Sep 5, 2025
Onset: Sep 5, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	N/A	—	IM / LA

Symptoms (1)

Shoulder injury related to vaccine administration

Symptom narrative

Shoulder Injury Related to Vaccine Administration

Current illness

none

Medical history

none

Other medications

none

Allergies

none