Report #2891955

Received Apr 7, 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: 76 yrs
State: WA
Recovered: Recovered
Vaccinated: Mar 11, 2026
Onset: Mar 20, 2026
Days to onset: 9
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	72NF3	IM / RA

Symptoms (2)

ArthralgiaMagnetic resonance imaging joint

Symptom narrative

Vaccine administered 3/11, seen by provider for shoulder pain 3/20 and 3/25. Shoulder MRI completed 3/27 concerning for SIRVA. Currently scheduled for steroid injection

Current illness

nothing pertinent

Medical history

hypertension, atrial fibrillation

Allergies

sulfamethoxazole/trimethoprim

Lab data

MRI