Report #2894977

Received Apr 30, 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: 85 yrs
State: SD
Recovered: Unknown
Vaccinated: Apr 28, 2026
Onset: Apr 29, 2026
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3054592	IM / LA

Symptoms (2)

ArthralgiaChills

Symptom narrative

chills, left shoulder pain

Allergies

NKDA