Report #2860514

Received Sep 22, 2025

Office 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: Female
Age: 85 yrs
State: CA
Recovered: Unknown
Vaccinated: Sep 17, 2025
Onset: Sep 17, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3052087	IM / RA

Symptoms (3)

Injection site painJoint injuryPain in extremity

Symptom narrative

Site: Pain at Injection Site-Mild, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Additional Details: Patient was given injection and experienced moderate to severe pain on her right arm. She visit her provider in which they stated she received the vaccine too high and that she should notify pharmacy. She was prescribed Norco to help with her pain, Other Vaccines: VaccineTypeBrand: mnexspike; Manufacturer: moderna; LotNumber: 3052087; Route: intramusclar; BodySite: right arm; Dose: ; VaxDate: UNKNOWN