Report #2867942

Received Oct 23, 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: 54 yrs
State: TX
Recovered: Recovered
Vaccinated: Oct 22, 2025
Onset: Oct 22, 2025
Days to onset: 0
Hospital days: —

Vaccines (5)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUARIX)	GLAXOSMITHKLINE BIOLOGICALS	1	2NG23	IM / RA
HEP	HEP B (ENGERIX-B)	GLAXOSMITHKLINE BIOLOGICALS	1	T5D73	IM / LA
HEPA	HEP A (HAVRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	Z27PB	IM / LA
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	1	Y018703	SC / RA
TDAP	TDAP (ADACEL)	SANOFI PASTEUR	1	U8620AA	IM / RA

Symptoms (3)

Peripheral swellingRashVisual impairment

Symptom narrative

After 10 minutes, Client's R Forearm started to swell with fine non itchy rash. Client started to see black spots, so laid down on clinic bed. 911 called. 1600: BP 170/90. O2 100%. No SOB. Orient X3. Lungs clear. Benadryl 50 mg IM given in L thigh at 1611. EMS called. Client refused to go to ER. BPP 150/80 @ 1615. States she will continue to take oral Benadryl. Ambulatory from clinic at 1645.

Current illness

N/A

Medical history

None known

Other medications

Not known

Allergies

NKA

Lab data

none