Report #2868556

Received Oct 27, 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: Female
Age: 78 yrs
State: PA
Recovered: Recovered
Vaccinated: Oct 13, 2025
Onset: Oct 13, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	1	3053669	IM / RA

Symptoms (4)

ArthralgiaInjection site painInjection site swellingTinnitus

Symptom narrative

Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Systemic: Joint Pain-Severe, Systemic: Tinnitus-Medium, Additional Details: patient also reported lack of control/movement of fingers in the arm used to vaccinate. Administration site was reviewed and found no issues with injectino site/technique. Due to the proper administration of the vaccine, likely a true side effect of the vaccine. Patient was counseled to inform doctor of the likely side effect. , Other Vaccines: VaccineTypeBrand: mnex; Manufacturer: moderna; LotNumber: 3053669; Route: im; BodySite: right arm; Dose: ; VaxDate: UNKNOWN