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Report #2874433

Received Nov 24, 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
64 yrs
State
TX
Recovered
Not recovered
Vaccinated
Sep 18, 2025
Onset
Sep 19, 2025
Days to onset
1
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU4INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALS1js74hIM / RA

Symptoms (5)

ArthralgiaInjection site painJoint injuryParaesthesiaProduct administered at inappropriate site

Symptom narrative

Site: Pain at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Systemic: was given the shot too high on the arm and it went into the bursa in the shoulder-Severe, Systemic: Joint Pain-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Additional Details: patient has been to the doctor several times concerning his shoulder pain. didnt think much about it at first but has progressively gotten worse, Other Vaccines: VaccineTypeBrand: fluarix; Manufacturer: glaxosmithkline; LotNumber: js74h; Route: im; BodySite: rd; Dose: 01; VaxDate: 09/18/2025