Report #2861854

Received Sep 27, 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: Female
Age: 80 yrs
State: OR
Recovered: Unknown
Vaccinated: Sep 26, 2025
Onset: Sep 27, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052296	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	1	U8764CB	IM / LA

Symptoms (3)

Injection site bruisingPainRotator cuff syndrome

Symptom narrative

Patient came in to pharmacy on 9/27 at 2:30pm stating she had to go to ER overnight for injection site reaction of bruise. She was given a norco pain medication from the ER and was wearing a sling. She stated she is in alot of pain and was told it was a rotator cuff injury. She was given 2 shots in the left arm because she had stated the day before during immunization that she has a rotator cuff injury in her right arm.

Other medications

hydrocodone 10/325, estradiol cream 0.01%, qvar 80, albuterol inhaler, diclofenac 1% gel,

Allergies

amoxicillin, clindamycin, hydroxychloroquine, lisinopril, lithium, sulfa, tetanus vaccine