Report #2878405

Received Dec 17, 2025

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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: 67 yrs
State: IN
Recovered: Unknown
Vaccinated: Oct 4, 2025
Onset: Oct 8, 2025
Days to onset: 4
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	na4452	IM / LA

Symptoms (5)

Injection site bruisingInjection site erythemaInjection site necrosisInjection site painInjection site pruritus

Symptom narrative

Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: necrosis of tissue at injection site-Severe, Additional Details: Shots given together on 10/4/2025 and patient treated for wound on 11/20/2025, Other Vaccines: VaccineTypeBrand: Fluzone High Dose 25/26; Manufacturer: Sanofi-Pasteur; LotNumber: u8862ba; Route: IM; BodySite: Left deltoid; Dose: 1; VaxDate: 10/04/2025, VaccineTypeBrand: Arexvy; Manufacturer: Glaxosmithkline; LotNumber: 7hz93; Route: IM; BodySite: Left deltoid; Dose: ; VaxDate: 10/04/2025