Report #2867321

Received Nov 3, 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: 79 yrs
State: CA
Recovered: Not recovered
Vaccinated: Sep 4, 2025
Onset: Sep 4, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	UNK	NDC: 8077704006	—
FLU4	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT)	SANOFI PASTEUR	1	u8800ba	IM / LA

Symptoms (6)

Injection site painPainArthralgiaJoint injuryNerve injuryWrong technique in product usage process

Symptom narrative

Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Systemic: Joint Pain-Medium, Additional Details: joint pain caused by injection given at bad angle. on md visit said needle hit axillary nerve causing joint pain. md said it may take pt 4-6 months to recover and is currently taking ibuprofen, Other Vaccines: VaccineTypeBrand: mnexspike; Manufacturer: moderna; LotNumber: 3052036; Route: IM; BodySite: left arm; Dose: 1; VaxDate: 09/04/2025