Report #2881486

Received Jan 12, 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: Female
Age: 67 yrs
State: IL
Recovered: Unknown
Vaccinated: Dec 29, 2025
Onset: Dec 29, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19-2	COVID19 (COVID19 (MODERNA BIVALENT))	MODERNA	1	3052733	IM / LA

Symptoms (3)

ArthralgiaInjection site painPain in extremity

Symptom narrative

Site: Pain at Injection Site-Medium, Systemic: pain going from shoulder to back of arm-Medium, Additional Details: Pt states after vaccination has felt pain going into her shoulder and down the back of her left arm, she states that if feels more like nerve pain than muscle pain, Other Vaccines: VaccineTypeBrand: Fluzone HD; Manufacturer: Sanofi Pastuer; LotNumber: ut8820da; Route: im; BodySite: rt arm; Dose: ; VaxDate: UNKNOWN