Report #2875171

Received Nov 26, 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: 58 yrs
State: MI
Recovered: Not recovered
Vaccinated: Oct 30, 2025
Onset: Oct 30, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUBLOK)	SANOFI PASTEUR	N/A	U8864CA	IM / RA
PNC21	PNEUMO (CAPVAXIVE)	MERCK & CO. INC.	N/A	Z006076	SYR / RA

Symptoms (4)

PainRotator cuff syndromeSwellingUrticaria

Symptom narrative

Reported swelling, pain, 'welt 6 inches the evening of the shot,' rotator cuff tendonitis on exam, swelling palpable on exam 2cm

Current illness

Viral illness 10 days prior to vaccination

Medical history

Hyperlipidemia, postmenopausal atrophic vaginitis, Generalized Anxiety Disorder, history of endometriosis, benign cervical mass monitored by gynecology, new elevated lipase level with normal RUQ ultrasound pending further workup

Other medications

Escitalopram Oxalate 10 MG TabletTaking Multivitamin(Multiple Vitamin) - TabletTaking Fish Oil 1000 MG CapsuleTaking Glucosamine Chondroitin Complx (Glucosamine-Chondroit-Vit C-Mn) - TabletTaking omega-3 supplementation, berberine, topical

Allergies

NKDA

Lab data

Physical exam 11/25/2025

Prior vaccinations

COVID-19, unknown reaction