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Report #2904864

Received Jul 27, 2026

Office visit

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

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK3053258IM / LA
HEPHEP B (RECOMBIVAX HB)MERCK & CO. INC.19DF34IM / RA
HPV9HPV (GARDASIL 9)MERCK & CO. INC.1A003663IM / LA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSUNK72NF3IM / 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