Report #2883489

Received Jan 30, 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: 51 yrs
State: IN
Recovered: Recovered
Vaccinated: Jun 9, 2025
Onset: Jun 19, 2025
Days to onset: 10
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HEP	HEP B (HEPLISAV-B)	DYNAVAX TECHNOLOGIES CORPORATION	1	945664	IM / LA
PNC21	PNEUMO (CAPVAXIVE)	MERCK & CO. INC.	1	Z004302	IM / LA
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	2	594G2	IM / RA

Symptoms (3)

Axillary vein thrombosisImaging procedure abnormalPain in extremity

Symptom narrative

Patient developed left upper extremity pain, imaging demonstrating deep vein thrombosis of left axillary vein after vaccination. Initial imaging demonstrating this in July 2025. Follow-up imaging in August 2025 demonstrated resolution of this.