Report #2904864

Received Jul 27, 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: 36 yrs
State: CA
Recovered: Recovered
Vaccinated: May 11, 2026
Onset: May 11, 2026
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	3053258	IM / LA
HEP	HEP B (RECOMBIVAX HB)	MERCK & CO. INC.	1	9DF34	IM / RA
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	1	A003663	IM / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	72NF3	IM / RA

Symptoms (7)

ChillsDizzinessEye painHeadachePainPain in extremityPyrexia

Symptom narrative

Dizziness, chills, fever, bodyaches, headache, eye pain Started at 1pm, calmed down after 3 days Left arm hurt x 15d

Current illness

None

Medical history

dyslipidemia, obesity

Other medications

None, only topical ointments

Allergies

None

Lab data

n/a