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Report #2861097

Received Sep 24, 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
Female
Age
57 yrs
State
CA
Recovered
Unknown
Vaccinated
Sep 17, 2025
Onset
Sep 21, 2025
Days to onset
4
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS1K4K3SIM / RA

Symptoms (5)

ArthralgiaDifferential white blood cell countFull blood countRed blood cell sedimentation rateUltrasound scan

Symptom narrative

57-year-old female complains of right shoulder pain since receiving tetanus booster.

Current illness

Atypical chest pain Essential hypertension, benign Left arm pain Obesity (BMI 35.0-39.9 without comorbidity) Prediabetes Fatty (change of) liver, not elsewhere classified Screening for hyperlipidemia Poor compliance Colon cancer screening Immunization due Screening for respiratory condition Anxiety

Medical history

Atypical chest pain Essential hypertension, benign Left arm pain Obesity (BMI 35.0-39.9 without comorbidity) Prediabetes Fatty (change of) liver, not elsewhere classified Screening for hyperlipidemia Poor compliance Colon cancer screening Immunization due Screening for respiratory condition Anxiety

Other medications

captopril (CAPOTEN) 25 MG tablet, amLODIPine (NORVASC) 10 MG tablet, ibuprofen (ADVIL,MOTRIN) 600 MG tablet (PRESCRIBED THE DAY OF FROM THE PCP VISIT., PRIOT TO IIMMUNIZARION)

Allergies

Hydrocodone (S/S: Nausea, Vomiting)

Lab data

PROCEDURE: US SOFT TISSUE UPPER EXTREMITY RIGHT LIMITED. Sedimentation rate, automated. CBC (INCLUDES DIFF/PLT)