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Report #2858596

Received Sep 14, 2025

ER / ED visitOffice 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
37 yrs
State
SC
Recovered
Not recovered
Vaccinated
May 27, 2025
Onset
May 27, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS4U8252AAIM / LA

Symptoms (9)

AstheniaBursitisInflammationInjected limb mobility decreasedJoint range of motion decreasedMagnetic resonance imaging abnormalPainPeriarthritisShoulder injury related to vaccine administration

Symptom narrative

Pain, inflammation, loss of range of motion, weakness, immobility of left arm started immediately after vaccine administration on 27 May 2025. After two days member noticed symptoms were not going away. Member took ibuprofen 400mg with minimal relief. Member went to ER on 03 June and was told that it was not an urgent issue and was referred to an orthopedic. On 10 June 2025 member went to ortho where member was diagnosed with Shoulder Injury Related to Vaccine Administration and was referred to physical therapy. Member is still doing physical therapy as of 14 September with minimal positive results. Member had follow up with ortho doctor and received an MRI and was diagnosed with adhesive capsulitis and bursitis.

Current illness

None related to adverse event

Medical history

None related to adverse event

Other medications

None at time of vaccination

Allergies

Fentanyl

Lab data

Magnetic Resonance Imaging- 26 August 2025