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Report #2884990

Received Feb 10, 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
50 yrs
State
WI
Recovered
Not recovered
Vaccinated
Nov 3, 2025
Onset
Nov 3, 2025
Days to onset
0
Hospital days

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA7+3052668IM / LA
FLU3INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS7+4D255IM / LA

Symptoms (3)

Injection site painPainPyrexia

Symptom narrative

some fever and body aches for 1 day after vaccination. 2 days of pain at injection site, then pain reduced. 2 days after the pain reduced, it came back. Pain is relatively mild, but occurs with shoulder movement. Went to monthly chiropractor, chiro said could not help. No medication taken yet for pain. Client believes shot may have been given too high in shoulder, causing SIRVA.

Current illness

no

Medical history

no

Other medications

no

Allergies

no

Lab data

no labs done yet