Report #2835626

Received Apr 10, 2025

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: 67 yrs
State: WI
Recovered: Not recovered
Vaccinated: Mar 25, 2025
Onset: Apr 9, 2025
Days to onset: 15
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
TD	TD ADSORBED (TENIVAC)	SANOFI PASTEUR	1	U8384AA	IM / LA
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	22tx7	IM / LA

Symptoms (3)

Mobility decreasedPain in extremityPeriarthritis

Symptom narrative

Patient called pharmacy and said after his vaccinations his arm was sore each day, but beginning on 4/9/2025 he had significant pain and couldn't move his arm at all. He believes he has frozen shoulder.