Report #2871841

Received Nov 10, 2025

Office visit

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: 51 yrs
State: TN
Recovered: Recovered
Vaccinated: Oct 29, 2025
Onset: Oct 29, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	1	8146367	IM / RA

Symptoms (3)

Injection site painJoint injuryProduct administered at inappropriate site

Symptom narrative

Site: Pain at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Additional Details: patient reported significant impact in range of motion after receving a vaccine very high on his arm. it caused significant pain for several day, but seems to have subsided by 75%, Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: Seqirus; LotNumber: 407009; Route: IM; BodySite: left arm; Dose: 1; VaxDate: 10/29/2025