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Report #2833460

Received Mar 27, 2025

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
11 yrs
State
MI
Recovered
Unknown
Vaccinated
Mar 21, 2025
Onset
Mar 22, 2025
Days to onset
1
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSUNKL5229IM / LA

Symptoms (4)

Injection site erythemaInjection site painInjection site pruritusInjection site swelling

Symptom narrative

Patient was given a tdap and covid vaccine in the left arm on 3/21/2025. Mom called 3/22/2025 and spoke to a nurse on our triage team. She reported patient had swelling in his left with redness the size of a softball and bruising size of popcorn. She stated he was complaining of area being itchy, there was no fever and no other signs of illness. Nurse routed this to provider on call and mom was notified of providers advise " if this is concerning to family, they can go to ER tonight or doctor in the morning. If they have not tried ice and NSAIDS I would advise they try this" Mom was notified of this and verbalized understanding, stated they will try ice and NSAIDS and if no improvement by next day they would go in and be seen.

Current illness

none noted in chart, patient was seen on 3/21/2025 for his yearly physical.

Medical history

Actue cough noted on problem list 12/12/2022, Heart murmur noted on chart on 10/02/2015, eczema both extremities noted on chart on 4/20/2021, ADHD 7/30/2019, allergy to insect bites noted on chart on 4/20/2021

Other medications

Adderall 10 mg 1 b.i.d.

Allergies

P-phenylenediamine - reaction type per patient chart is unspecified

Lab data

n/a