Report #2839817

Received May 6, 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: 55 yrs
State: —
Recovered: Unknown
Vaccinated: May 1, 2025
Onset: May 1, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	UNK	10670574	IM
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	5k6mbs5	IM

Symptoms (4)

ArthralgiaMobility decreasedPain in extremityShoulder injury related to vaccine administration

Symptom narrative

Patient developed SIRVA and experienced pain in shoulder and arm and could not move his arm