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Report #2863112

Received Oct 3, 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
Female
Age
64 yrs
State
—
Recovered
Not recovered
Vaccinated
Aug 27, 2025
Onset
Aug 27, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSUNKPG3RPIM / LA

Symptoms (5)

Immediate post-injection reactionMobility decreasedPainParaesthesiaShoulder injury related to vaccine administration

Symptom narrative

Shoulder Injury Related to Vaccine Administration. The patient developed persistent pain, paresthesia, and decreased mobility immediately following vaccine administration. She took Aleve without improvement. She was seen by Orthopedic Specialist who diagnosed her with SIRVA and administered a steroid injection which only provided temporary relief. I have offered her PT.