Report #2865394

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: 77 yrs
State: IN
Recovered: Not recovered
Vaccinated: Oct 5, 2025
Onset: Oct 6, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	1	3052734	IM / RA

Symptoms (2)

Injection site painPain in extremity

Symptom narrative

Site: Pain at Injection Site-Severe, Additional Details: Pain was so severe in both arms that he had to go to the ER, despite applying ice to areas and trying other things to help at home first. He was prescribed Tramadol and Prednisone., Other Vaccines: VaccineTypeBrand: fluzone high-dose; Manufacturer: sanofi-pasteur; LotNumber: u88628a; Route: intramuscular; BodySite: left arm; Dose: ; VaxDate: UNKNOWN