Report #2874466

Received Nov 24, 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: Female
Age: 87 yrs
State: CA
Recovered: Not recovered
Vaccinated: Sep 12, 2025
Onset: Sep 19, 2025
Days to onset: 7
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	UNK	3052155	IM / LA

Symptoms (2)

Injection site painJoint injury

Symptom narrative

Site: Pain at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium