Report #2883659

Received Feb 2, 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: Male
Age: 74 yrs
State: PA
Recovered: Not recovered
Vaccinated: Nov 17, 2025
Onset: Nov 17, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	1	3052154	IM / LA

Symptoms (1)

Injection site pain

Symptom narrative

Site: Pain at Injection Site-Medium, Other Vaccines: VaccineTypeBrand: Influenza (Seasonal) (Fluzone High-Dose Quadrivalent); Manufacturer: Sanofi-Pasteur; LotNumber: UT8794AA; Route: intramuscular; BodySite: left arm; Dose: ; VaxDate: UNKNOWN

Allergies

No known allergies