Report #2867660

Received Oct 22, 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: 79 yrs
State: FL
Recovered: Not recovered
Vaccinated: Oct 16, 2025
Onset: Oct 17, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	1	F4AC3	IM / LA

Symptoms (3)

ErythemaParaesthesiaSkin warm

Symptom narrative

Patient stated he is experiencing tingling and redness on the inside of his left arm. Patient reported his arm was warm to the touch. No swelling or shortness of breath reported.

Current illness

None

Medical history

Hypertension

Other medications

None

Allergies

Penicillin, Coconut

Lab data

None.