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Report #2880012

Received Dec 30, 2025

ER / ED 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
Male
Age
60 yrs
State
IN
Recovered
Not recovered
Vaccinated
Dec 18, 2025
Onset
Dec 18, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
RSVRSV (AREXVY)GLAXOSMITHKLINE BIOLOGICALS15n79zIM / LA

Symptoms (1)

Injection site pain

Symptom narrative

Site: Pain at Injection Site-Medium, Other Vaccines: VaccineTypeBrand: Boostrix; Manufacturer: gsk; LotNumber: e9x9a; Route: im; BodySite: left arm; Dose: 1; VaxDate: 12/18/2025