Report #2897127

Received May 19, 2026

Office visit

Reports are unverified and do not show that a vaccine caused an event. 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)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	UNK	3052996	IM / 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