Report #2882823

Received Jan 22, 2026

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: 65 yrs
State: WY
Recovered: Not recovered
Vaccinated: Jan 17, 2026
Onset: Jan 17, 2026
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	UNK	UT8829AA	IM / LA
PNC21	PNEUMO (CAPVAXIVE)	MERCK & CO. INC.	UNK	Z007870	IM / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	F9K3L	IM / RA
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	UNK	MD549	IM / LA

Symptoms (3)

ArthralgiaBack injuryLoss of personal independence in daily activities

Symptom narrative

Severe left shoulder pain resulting in difficulty with activities, decreased range of motion. Resulted in a back injury when arising from bed. Resulted in an ER visit. Treated with topical lidocaine Evaluated by PCP on 1/22/26 and found to have range of motion decreased by ~50% in all directions. Concerning for developing adhesive capsulitis.

Allergies

None

Lab data

No imaging completed