Report #2867190

Received Oct 20, 2025

Office 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: 94 yrs
State: —
Recovered: Unknown
Vaccinated: Oct 17, 2025
Onset: Oct 17, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	NA0589	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	N/A	U8874CA	IM / LA

Symptoms (1)

Injection site bruising

Symptom narrative

Bruising and possible hematoma at the injection site