Report #2858605

Received Sep 14, 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: 80 yrs
State: OR
Recovered: Unknown
Vaccinated: Sep 12, 2025
Onset: Sep 12, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3051997	IM / LA
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	UNK	LX2498	IM / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	F9K3L	IM / RA

Symptoms (1)

Arthralgia

Symptom narrative

HAD SEVERE PAIN IN BOTH SHOULDERS AT THE UPPER BONY PART