diff --git a/src/app/api/doctor-report/pdf/route.ts b/src/app/api/doctor-report/pdf/route.ts
index 5b8588998..665067735 100644
--- a/src/app/api/doctor-report/pdf/route.ts
+++ b/src/app/api/doctor-report/pdf/route.ts
@@ -14,6 +14,7 @@ import { renderDoctorReportPdfBytes } from "@/lib/doctor-report-pdf-core";
 import { getServerTranslator } from "@/lib/i18n/server-translator";
 import { parseLocaleFromAcceptLanguage } from "@/lib/format-locale";
 import { locales, type Locale } from "@/lib/i18n/config";
+import { resolveUserTimezone } from "@/lib/tz/resolver";
 
 /**
  * Server-rendered PDF doctor report.
@@ -58,10 +59,13 @@ export const POST = apiHandler(async (request: NextRequest) => {
     }
   }
 
-  const data = await collectDoctorReportData(user.id, range, { practiceName });
+  const [data, userTz] = await Promise.all([
+    collectDoctorReportData(user.id, range, { practiceName }),
+    resolveUserTimezone(user.id),
+  ]);
 
   const { t } = getServerTranslator(locale);
-  const pdfBytes = renderDoctorReportPdfBytes(data, { t, locale });
+  const pdfBytes = renderDoctorReportPdfBytes(data, { t, locale, userTz });
 
   await auditLog("doctor-report.pdf.generate", {
     userId: user.id,
diff --git a/src/lib/doctor-report-pdf-core.ts b/src/lib/doctor-report-pdf-core.ts
index 02b32e440..21826fa09 100644
--- a/src/lib/doctor-report-pdf-core.ts
+++ b/src/lib/doctor-report-pdf-core.ts
@@ -26,6 +26,14 @@ export interface DoctorReportRenderOptions {
    * tests; defaults to `new Date()`.
    */
   now?: Date;
+  /**
+   * v1.4.25 W7 — per-user display timezone. When omitted the report
+   * renders timestamps in Europe/Berlin (legacy contract). Server
+   * callers pass `resolveUserTimezone(user.id)`; client callers pass
+   * the value from auth context so a US user's PDF carries
+   * Eastern-time rows even when generated in the browser.
+   */
+  userTz?: string;
 }
 
 /**
@@ -137,8 +145,8 @@ export function buildDoctorReportPdfDocument(
   data: DoctorReportData,
   options: DoctorReportRenderOptions,
 ): jsPDF {
-  const { t, locale, now = new Date() } = options;
-  const formatters = makeFormatters(locale);
+  const { t, locale, now = new Date(), userTz } = options;
+  const formatters = makeFormatters(locale, userTz);
   const num = (value: number, decimals = 1) =>
     formatters.number(value, decimals);
   const fmtDate = (iso: string) => formatters.date(iso);