Report #2868157

Received Oct 24, 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: 84 yrs
State: IN
Recovered: Not recovered
Vaccinated: Oct 7, 2025
Onset: Oct 7, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	N/A	NA0589	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	N/A	U8855AA	IM / LA

Symptoms (2)

Neck painPain in extremity

Symptom narrative

Patient's wife called to report patient was seen in the ER today with suspected hematoma related to vaccination on 10/7/25. First signs were pain in left arm and neck. Pain worsened with time. Patient's wife reports the ER provider believed the condition was due to vaccination while patient was taking warfarin and clopidogrel.

Medical history

colon cancer, artificial heart valve, stents, multiple joint replacements

Other medications

clopidogrel, warfarin, tramadol, levothyroxine, torsemide, ezetimibe, atorvastatin, spironolactone, vitamin d3, chewable antacids, fluticasone

Allergies

no known allergies

Lab data

Seen in the emergency room 10/24/25