Report #2860458

Received Sep 22, 2025

ER / ED visit

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: 84 yrs
State: HI
Recovered: Unknown
Vaccinated: Sep 14, 2025
Onset: Sep 14, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU4	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT)	SANOFI PASTEUR	1	u8859ca	SYR / UN

Symptoms (2)

Injection site painJoint injury

Symptom narrative

Site: Pain at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Other Vaccines: VaccineTypeBrand: Capvaxive (Pneumococcal 21); Manufacturer: ; LotNumber: Z006076; Route: IM; BodySite: ; Dose: ; VaxDate: UNKNOWN