Report #2873596

Received Nov 19, 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: Female
Age: 78 yrs
State: IL
Recovered: Not recovered
Vaccinated: Oct 30, 2025
Onset: Oct 30, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	N/A	U8830CA	IM / LA

Symptoms (3)

ArthralgiaMobility decreasedShoulder injury related to vaccine administration

Symptom narrative

acute shoulder pain within hours of the injection with limited range of motion (SIRVA)

Current illness

None

Medical history

Lymphomatoid papulosis, hyperlipidemia, asthma, vitamin D deficiency, osteoporosis, osteoarthritis, overactive bladder, history of lung cancer and skin cancer (basal cell, squamous cell)

Other medications

Alprazolam, atorvastatin, azelastine, B complex, calcium, vitamin D3, clobetasol, loratadine, meloxicam, sertraline, CoQ10

Allergies

Tramadol, trospione