Report #2871873

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: 92 yrs
State: GA
Recovered: Recovered
Vaccinated: Nov 6, 2025
Onset: Nov 6, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052550	IM / RA

Symptoms (4)

ChillsPyrexiaTendernessTremor

Symptom narrative

pts arm was tender for a couple of days. He developed chills and shaking. His fever was 99.1 and then later was 100.1. He took Tylenol to help bring down the temp. The symptoms were better the next day but he still had a sore arm. He no longer has these symptoms.

Current illness

none

Medical history

afib

Other medications

hydralazine, fluticasone, tamsulosin, cartia, Eliquis,

Allergies

nka