Report #2868796

Received Oct 27, 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: Female
Age: 64 yrs
State: NJ
Recovered: Not recovered
Vaccinated: Sep 29, 2025
Onset: Sep 29, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUBLOK)	SANOFI PASTEUR	1	tfaa2544	IM / RA

Symptoms (1)

Shoulder injury related to vaccine administration

Symptom narrative

Patient has reported SIRVA.

Allergies

none