Report #2869594

Received Dec 1, 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: 48 yrs
State: CA
Recovered: Recovered
Vaccinated: Oct 28, 2025
Onset: Oct 30, 2025
Days to onset: 2
Hospital days: —

Vaccines (7)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUARIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	37KF3	IM / LA
HEP	HEP B (ENGERIX-B)	GLAXOSMITHKLINE BIOLOGICALS	1	9K34M	IM / RA
IPV	POLIO VIRUS, INACT. (IPOL)	SANOFI PASTEUR	1	Y1D03P1	IM / RA
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	1	Z004811	SC / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	4	37F34	IM / RA
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	1	Z008873	SC / RA
SMALL	SMALLPOX (ACAM2000)	EMERGENT BIOSOLUTIONS	1	Z008873	SC / RA

Symptoms (7)

Injection site erythemaInjection site indurationInjection site oedemaInjection site painErythemaPruritusSkin warm

Symptom narrative

Patient stated she was vaccinated on 10/28/2025. Began with itchy, redness, warm to touch raised bumps, one day following. It worsened on second day and came to Center. Client stated unable to know which vaccine caused reaction. Pt. explained no further knowledge of what happened during encounter. During today's encounter (12/01/2025) pt declined Varicella vaccine due to possible worsening reaction. Other vaccines given without concern (Polio, Hepatitis B, MMR) Informed patient to return to clinic if any adverse signs or symptoms arise such as last time. Client verbalized understanding.

Current illness

N/A

Medical history

Other medications

N/A

Allergies

NKDA

Lab data

N/A