Report #2892042

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: 50 yrs
State: WA
Recovered: Not recovered
Vaccinated: Feb 3, 2026
Onset: Feb 3, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	E9X9A	IM / LA

Symptoms (1)

Limb injury

Symptom narrative

Shoulder-related injury per patient report.

Current illness

Unknown

Medical history

Bipolar disorder

Other medications

Lamotrigine ER 200mg (1.5 tablets daily) and Zolpidem 10mg (1 tablet QHS PRN). OTC and supplements unknown

Allergies

No known allergies

Lab data

Undergoing physical therapy as of 4/7/2026