Report #2875053

Received Nov 26, 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: 71 yrs
State: NC
Recovered: Not recovered
Vaccinated: Oct 10, 2025
Onset: Oct 11, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	NA0739	IM / LA
FLUX	INFLUENZA (SEASONAL) (NO BRAND NAME)	UNKNOWN MANUFACTURER	UNK	—	—

Symptoms (5)

Injection site painInjection site reactionInjection site swellingPainSoft tissue disorder

Symptom narrative

Pain/swelling at injection site L arm with persistent soft tissue prominence >1 mo pain with certain movements (internal rotation)

Current illness

None

Medical history

AVM (arteriovenous malformation) of colon; CLL (chronic lymphocytic leukemia) (HHS/CMS-HCC); Colon polyps; Diverticulosis of large intestine without hemorrhage; Hyperlipidemia; Hypothyroidism; Insomnia, persistent; Internal hemorrhoids; At low risk for fall; Blood in urine; BMI 22.0-22.9, adult; Bruit of right carotid artery; Contact with and (suspected) exposure to covid-19; Encounter for screening for depression; Encounter for screening for malignant neoplasm of prostate; Medicare annual wellness visit, subsequent; Hiccups; Leukocytosis; Sensation of fullness in right ear; Hypercholesterolemia; First degree hemorrhoids; Chronic lymphocytic leukemia of B-cell type not having achieved remission (HHS/CMS-HCC); Annual physical exam

Other medications

Albuterol HFA 90mcg/act; atorvastatin 20 MG; cholecalciferol 50 MCG (2000 UT); levothyroxine 100 MCG; mirtazapine 15 MG; tamsulosin 0.4 MG

Allergies

NKDA

Lab data

ultrasound (ordered)