Report #2872529

Received Nov 13, 2025

ER / ED visitOffice 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: TX
Recovered: Unknown
Vaccinated: Nov 13, 2025
Onset: Nov 13, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUBLOK)	SANOFI PASTEUR	UNK	U8864CA	IM / LA
TDAP	TDAP (ADACEL)	SANOFI PASTEUR	UNK	U8654AA	IM / LA
UNK	VACCINE NOT SPECIFIED (OTHER)	UNKNOWN MANUFACTURER	UNK	Z010457	IM / RA

Symptoms (4)

Injection site erythemaInjection site indurationInjection site painInjection site warmth

Symptom narrative

VACCINE SITES DEVELOPED TENDER SUBCUTANEOUS INDURATION W CIRCULAR SURROUNDING ERYTHEMA AND WARMTH

Current illness

NONE KNOWN

Medical history

RHEUMATOID ARTHRITIS DEPRESSION EXCESSIVE DAYTIME SLEEPINESS ASTHMA DIABETES

Other medications

METHOTREXATE MODAFANIL DULOXETINE FOLIC ACID METFORMIN FAMOTIDINE TIRZEPATIDE VAGIFEM INTRAROSA VOLTAREN ALBUTEROL HYDROXYZINE

Allergies

NKDA