Report #2878250

Received Dec 17, 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: 66 yrs
State: OH
Recovered: Not recovered
Vaccinated: Nov 3, 2025
Onset: Nov 4, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	UNK	3052036	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	UNK	U8875BA	IM / LA

Symptoms (3)

ArthralgiaShoulder injury related to vaccine administrationSleep disorder

Symptom narrative

No reaction to either drug. Next day my left shoulder was very, very sore. I assumed the soreness would go away but it continued to get worse and worse. After about a month I started getting worried because the shoulder pain continued to get worse to the point I could not move my arm over my head without sever pain. Major problem sleeping. Started researching it and realized I had SIRVA.

Current illness

Hip and Back issues

Medical history

None

Other medications

LATANOPROST and DORZOLAMIDE-TIMOLOL eye drops.

Allergies

N/A

Lab data

So far I have only went to my primary care Doctor but the pain continues to be very acute.