Report #2862338

Received Sep 30, 2025

ER / ED visitOffice visit

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Overview

Sex: Female
Age: 66 yrs
State: CO
Recovered: Not recovered
Vaccinated: Sep 17, 2025
Onset: Sep 29, 2025
Days to onset: 12
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
RSV	RSV (ABRYSVO)	PFIZER\WYETH	1	LN5470	IM / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	H4K3S	IM / LA

Symptoms (9)

DizzinessFull blood countHeadacheInjection site erythemaInjection site painInjection site swellingInjection site warmthMetabolic function testUltrasound Doppler normal

Symptom narrative

Patient received both RSV and Tdap vaccinations in the same arm on 9/17. On 9/29 patient woke up to a red, swollen, and tender/hot area on the upper left arm, and was feeling dizziness and headache. Patient went into the ER and was found have a BP if 199/80 at that time. the ER completed full blood panel and ultrasound of the arm was taken with no findings. Patient was sent home after 3 hours and told to monitor blood pressure. Upon returning to the pharmacy on 9/30, her BP was at 168/118 and patient was instructed to set up follow-up appointment with primary care physician

Lab data

Ultrasound of the left arm 9/30/25. CBC, chem7