Report #2868799

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: 73 yrs
State: NJ
Recovered: Unknown
Vaccinated: Oct 6, 2025
Onset: Oct 6, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	na0587	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUAD)	SEQIRUS, INC.	1	407263	IM / LA

Symptoms (1)

Shoulder injury related to vaccine administration

Symptom narrative

The patient reported SIRVA.

Allergies

none