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Report #2897127

Received May 19, 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
78 yrs
State
AZ
Recovered
Recovered
Vaccinated
Apr 13, 2026
Onset
Apr 16, 2026
Days to onset
3
Hospital days

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (UNKNOWN))UNKNOWN MANUFACTURERUNK3052996IM / RA

Symptoms (4)

Injection site erythemaInjection site indurationInjection site painInjection site swelling

Symptom narrative

Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Patient should to elbow was red and hard, was given antibiotics by his prescriber, prescriber believes patient got an infection from the vaccine., Other Vaccines: VaccineTypeBrand: Capvaxive; Manufacturer: ; LotNumber: z013655; Route: Intramuscular; BodySite: Right Arm; Dose: 1; VaxDate: 04/13/2026