Report #2883451

Received Jan 30, 2026

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: Female
Age: 69 yrs
State: NY
Recovered: Unknown
Vaccinated: Dec 9, 2025
Onset: Dec 10, 2025
Days to onset: 1
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3053258	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	UNK	UT8804DA	IM / LA
TDAP	TDAP (ADACEL)	SANOFI PASTEUR	UNK	U8671AA	IM / LA

Symptoms (4)

Injection site atrophyInjection site erythemaInjection site muscle atrophyInjection site swelling

Symptom narrative

Developed swelling and redness at the right deltoid, then what appears to be muscle and slight skin atrophy in a 3-4 cm circular area. appears to be stable now and no further progression