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Report #2865388

Received Oct 13, 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
Male
Age
79 yrs
State
MO
Recovered
Not recovered
Vaccinated
Sep 30, 2025
Onset
Oct 6, 2025
Days to onset
6
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH1my9548IM / LA

Symptoms (7)

Injection site bruisingInjection site discolourationInjection site erythemaInjection site painInjection site pruritusInjection site swellingJoint injury

Symptom narrative

Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Mild, Additional Details: Patient called and mentioned he had gotten Partially dark areas around the injection site today. , Other Vaccines: VaccineTypeBrand: fluzone high dose; Manufacturer: sanofiy pasteur; LotNumber: ut8820ca; Route: Intramuscular; BodySite: Left deltoid; Dose: 1; VaxDate: 09/30/2025