Report #2863848

Received Oct 27, 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: Male
Age: 79 yrs
State: GA
Recovered: Not recovered
Vaccinated: Jul 30, 2025
Onset: Jul 30, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	37r35	IM / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	37r35	IM / LA

Symptoms (4)

Joint injuryInjection site bruisingInjection site painInjection site swelling

Symptom narrative

Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Other Vaccines: VaccineTypeBrand: Shingrix; Manufacturer: Glaxosmithkline; LotNumber: 99d52; Route: IM; BodySite: left arm; Dose: ; VaxDate: UNKNOWN