Report #2879182

Received Dec 22, 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: 72 yrs
State: MD
Recovered: Recovered
Vaccinated: Dec 6, 2025
Onset: Dec 8, 2025
Days to onset: 2
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	NE4289	IM / LA

Symptoms (4)

ArthralgiaInjection site painInjection site swellingShoulder injury related to vaccine administration

Symptom narrative

Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: sirva-Severe, Systemic: Joint Pain-Medium, Additional Details: per patient seen his provider and diagnosis with sirva, Other Vaccines: VaccineTypeBrand: Fluzone high dose; Manufacturer: Sanofi; LotNumber: UT8794AA; Route: IM; BodySite: left arm; Dose: ; VaxDate: 12/06/2025