Report #2871773

Received Nov 10, 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: Male
Age: 75 yrs
State: IN
Recovered: Recovered
Vaccinated: Oct 30, 2025
Onset: Oct 30, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	1	3053756	IM / LA

Symptoms (6)

AstheniaChillsConfusional stateDizzinessInjection site painTremor

Symptom narrative

Site: Pain at Injection Site-Mild, Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Shakiness-Severe, Systemic: Weakness-Medium, Additional Details: THESE SYMPTOMS BEGAN ABOUT 11 HOURS AFTER VACCINATION AND WAS SO SEVERE HE SAID HE COULDN'T TURN THE DOOR HANDLE. SYMTOMS OF SHAKINESS CONTINUED FOR OVER AN HOUR AND SLOWLY SUBSIDED, Other Vaccines: VaccineTypeBrand: FLUZONE HIGH DOSE; Manufacturer: SANOFI; LotNumber: UT8781CA; Route: IM; BodySite: LEFT DELTOID; Dose: ; VaxDate: UNKNOWN