Report #2865372

Received Oct 13, 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: Male
Age: 67 yrs
State: NJ
Recovered: Recovered
Vaccinated: Oct 6, 2025
Onset: Oct 6, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	1	3051995	IM / LA

Symptoms (2)

Injection site bruisingInjection site swelling

Symptom narrative

Site: Bruising at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: Patient had experienced bruise/swelling (Site Reactions to Vaccine). Patient was observed and swelling reduced after 2-3 minutes. No other symptoms were observed.