Report #2862374

Received Sep 30, 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: 91 yrs
State: WI
Recovered: Unknown
Vaccinated: Sep 26, 2025
Onset: Sep 26, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	H4K3S	IM / LA

Symptoms (2)

Pain in extremityPruritus

Symptom narrative

sore and itchy arm

Current illness

none known

Medical history

unkown

Other medications

unknown

Allergies

none known

Lab data

none known