Report #2862063

Received Sep 29, 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: Female
Age: 61 yrs
State: AL
Recovered: Not recovered
Vaccinated: Sep 26, 2025
Onset: Sep 28, 2025
Days to onset: 2
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3052087	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUBLOK)	SANOFI PASTEUR	N/A	TFAA2503	IM / LA
HEP	HEP B (HEPLISAV-B)	DYNAVAX TECHNOLOGIES CORPORATION	1	946064	IM / LA
PNC21	PNEUMO (CAPVAXIVE)	MERCK & CO. INC.	N/A	Z006076	IM / LA

Symptoms (3)

Injection site erythemaInjection site swellingInjection site warmth

Symptom narrative

Patient reported swelling, redness, and heat from shoulder to elbow of left arm beginning on Sunday (9/28/25) evening. She treated with tylenol and ice. Advised to continue those therapies and to add benadryl and to call her primary physician is symptoms progress.

Current illness

none

Medical history

n/a

Other medications

amlodipine, atorvastatin, fluoxetine, buspirone

Allergies

nkda