Report #2868384

Received Oct 26, 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: 91 yrs
State: SC
Recovered: Unknown
Vaccinated: Oct 24, 2025
Onset: Oct 26, 2025
Days to onset: 2
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	1	3052732	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	1	U8862CA	IM / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	5N9L9	IM / RA

Symptoms (3)

Injection site painInjection site swellingPyrexia

Symptom narrative

low grade fever of 100, pain and swelling of injection site