Report #2858862

Received Sep 15, 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: 77 yrs
State: CA
Recovered: Unknown
Vaccinated: Sep 12, 2025
Onset: Sep 12, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052086	IM / LA

Symptoms (5)

ArthralgiaCold sweatNauseaPainVomiting

Symptom narrative

Pt complaint aches, joint pain, elbow pain, cold sweat and nauea/vomiting

Current illness

n/a

Medical history

n/a

Other medications

n/a

Allergies

n/a