Report #2873168

Received Nov 17, 2025

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: 55 yrs
State: OK
Recovered: Unknown
Vaccinated: Nov 4, 2025
Onset: Nov 17, 2025
Days to onset: 13
Hospital days: —

Vaccines (5)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HEPAB	HEP A + HEP B (TWINRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	M4B34	IM / RA
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	UNK	Z010729	SC / LA
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	UNK	MA2506	IM / LA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	K4979	IM / RA
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	DX9X5	IM / LA

Symptoms (2)

No adverse eventProduct administered to patient of inappropriate age

Symptom narrative

Patient denies any adverse symptoms at time of report.

Current illness

Patient denied any recent acute illness

Medical history

Systemic lupus erythematosus, Diabetes Mellitus Type 2, Bipolar 1 Disorder, Hypothyroidism, Generalized Anxiety Disorder, Allergic rhinitis

Other medications

Azathioprine 50mg tablet, Azelastine HCl 0.15% solution, buPROPion HCl ER (XL) 300mg tablet, Cyanocobalamin 1000mcg, Detrol LA 4mg capsule, Fluticasone Propionate 50mcg suspension, Jardiance 10mg tablet, Levothyroxine 75mcg tablet, Mycophen

Allergies

Penicillin, Sulfa antibiotics

Lab data

N/A