Report #2870201

Received Nov 3, 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: 83 yrs
State: MD
Recovered: Recovered
Vaccinated: Oct 22, 2025
Onset: Oct 22, 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 (5)

ArthralgiaAstheniaInsomniaJoint injuryProduct administered at inappropriate site

Symptom narrative

Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Systemic: Joint Pain-Severe, Systemic: Unable to Sleep-Severe, Systemic: Weakness-Severe, Additional Details: Patient feels that the vaccine was administered too high in the arm, Other Vaccines: VaccineTypeBrand: mnexspike; Manufacturer: moderna; LotNumber: 3053669; Route: IM; BodySite: Right Deltoid; Dose: ; VaxDate: UNKNOWN