Report #2861851

Received Sep 27, 2025

ER / ED visit

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Overview

Sex: Male
Age: 76 yrs
State: TX
Recovered: Not recovered
Vaccinated: Sep 6, 2025
Onset: Sep 7, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3052549	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	N/A	UT8804AA	IM / LA

Symptoms (3)

HaematomaMobility decreasedMyalgia

Symptom narrative

patient experienced severe muscle pains and could not move the arm starting next day. Today patient went to urgent care and they diagnosed it as hematoma

Current illness

N/A

Medical history

N/A

Other medications

N/A

Allergies

N/A

Lab data

none