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Report #2874223

Received Nov 21, 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
Male
Age
77 yrs
State
FL
Recovered
Unknown
Vaccinated
Nov 20, 2025
Onset
Nov 20, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS1PX3P7IM / LA

Symptoms (2)

Extra dose administeredPain in extremity

Symptom narrative

Patient received two Boostrix in one month period. Boostrix on 10/10/25 and then received another Boostrix on 11/20/25. Patient had no side effects beside a sore arm.