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Report #2883209

Received Jan 26, 2026

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
75 yrs
State
IL
Recovered
Recovered
Vaccinated
Jan 16, 2026
Onset
Jan 19, 2026
Days to onset
3
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS1PF44AIM / LA

Symptoms (3)

Injection site painInjection site rashRash

Symptom narrative

Site: Pain at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: localized non itchy rash at left arm deltoid muscle-Mild, Additional Details: PT RECEIVED boostrix tdap vaccine on january 16,2026 and started rash 4 inches long and 2 inches wide at the site of upper left arm deltoid muscle on January 19, 2026 and is still present. however pt has not had any other reaction besides this rash. , Other Vaccines: VaccineTypeBrand: boostrix; Manufacturer: gsk; LotNumber: pf44a; Route: intramuscular; BodySite: left arm; Dose: ; VaxDate: UNKNOWN

Allergies

none