Report #2870244

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: Unknown
Age: 102 yrs
State: NY
Recovered: Not recovered
Vaccinated: Oct 29, 2025
Onset: Oct 29, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLUA4	INFLUENZA (SEASONAL) (FLUAD QUADRIVALENT)	SEQIRUS, INC.	1	407274	IM / LA

Symptoms (4)

Injection site painJoint injuryPainSleep disorder

Symptom narrative

Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Additional Details: Patient came into the pharmacy on 10/30/2025 stating she was woken up in the middle of the night with extreme pain in the left arm radiating from her shoulder down to her elbow and occasionally up toward her neck. She can move her arm side to side with limited range and can not lift her arm. She states the pain is extreme., Other Vaccines: VaccineTypeBrand: fluad; Manufacturer: sequris; LotNumber: 407274; Route: im; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN