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Report #2868921

Received Oct 27, 2025

ER / ED 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
59 yrs
State
NV
Recovered
Not recovered
Vaccinated
Sep 4, 2025
Onset
Sep 8, 2025
Days to onset
4
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
PNC21PNEUMO (CAPVAXIVE)MERCK & CO. INC.1Z003579IM / RA

Symptoms (16)

Back painC-reactive protein increasedChest X-ray abnormalDifferential white blood cell countInfluenza A virus test negativeInfluenza B virus test negativeInjection site cellulitisInjection site erythemaNauseaPainPlatelet countRed blood cell sedimentation rate normalSARS-CoV-2 test negativeViral infectionVomitingWhite blood cell count normal

Symptom narrative

Significant area of redness on her right upper arm where she received the vaccine. Patient also reports she is having back pain, nausea, vomiting and viral type symptoms. Patient denies any documented fever but decided to come in the emergency department for further evaluation. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: Rhonchi present. No wheezing or rales. Skin: General: Skin is warm and dry. Capillary Refill: Capillary refill takes less than 2 seconds. Findings: Erythema present. Comments: Large area of redness approximately 10 cm x 10 cm on the right upper extremity that does blanch under pressure. Final diagnoses: Cellulitis of right upper arm Lung field abnormal finding on examination Viral syndrome Nausea Body aches ew Prescriptions AMOXICILLIN-CLAVULANATE (AUGMENTIN) 875-125 MG TABLET Take 1 tablet by mouth 2 times a day for 7 days. DOXYCYCLINE HYCLATE (VIBRA-TABS) 100 MG TABLET Take 1 tablet (100 mg) by mouth 2 times a day for 7 days. ONDANSETRON ODT 4 MG DISINTEGRATING TABLET Dissolve 1 tablet (4 mg) by mouth every 6 hours as needed for nausea (for nausea or vomiting as needed.) for up to 16 doses.

Current illness

None

Medical history

Elevated A1C, dyslipidemia, HTN, Transaminitis, Hepatic Steatosis, Vit D Deficiency

Other medications

Lisinopril-hydrochlorothiazide 20-12.5, loratadine 10mg

Allergies

NKDA

Lab data

ED Course as of 09/08/25 1800 Mon Sep 08, 2025 1550 SARS-CoV-2, Qualitative by PCR Reviewed, negative [SM] 1550 Influenza A and B, Rapid Reviewed, negative [SM] 1550 XR Chest 1 View [SM] 1551 XR Chest 1 View Reviewed, 1. Moderate bilateral perihilar interstitial coarsening when compared to baseline likely related to infection. [SM] 1651 CBC With Plt Count And Auto Diff(!) Reviewed, white blood cell count normal 5.2 [SM] 1734 C-Reactive Protein(!) Reviewed, elevated at 1.47 [SM] 1734 Erythrocyte Sedimentation Rate (ESR) Reviewed, normal at 20 [SM]