Report #2880341

Received Jan 1, 2026

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: 79 yrs
State: CT
Recovered: Unknown
Vaccinated: Dec 31, 2025
Onset: Jan 1, 2026
Days to onset: 1
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	N/A	3053115	IM / LA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	N/A	UT8804BA	IM / LA
HEP	HEP B (HEPLISAV-B)	DYNAVAX TECHNOLOGIES CORPORATION	1	946064	IM / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	N/A	PX3P7	IM / RA

Symptoms (3)

LethargyMusculoskeletal painMyalgia

Symptom narrative

Patient's daughter stated Patient is experiencing muscle aches, lethargy and soreness in the butt area.