Report #2875500

Received Nov 29, 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: 70 yrs
State: NY
Recovered: Not recovered
Vaccinated: Sep 18, 2025
Onset: Sep 18, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	1	3052549	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	1	U8764BB	IM / LA

Symptoms (1)

Arthralgia

Symptom narrative

Continuous pain in left shoulder. May have been the administration of the vaccine and not the vaccine itself.

Current illness

None

Medical history

Hypercholesterolemia (addressed by Atorvastatin)

Other medications

Atorvastatin 40 mg, Minoxidil 2.5 mg, Tamsulosin 0.4 mg, multivitamin, Vitamin C 3000 mg, Vitamin D3 - 2000 mg, Vitamin E, Ultra K-2, Saw Palmetto, BodyBio Balance Oil, Glucosamine Chondroitin, CoQ10, Gingko Biloba, MindWorks, Curcumin, Bet

Allergies

No allergies. I do have food sensitivities

Lab data

N/A

Prior vaccinations

Red, sore arm from Shingles vaccine 4/27/2018, I was 63