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Report #2893013

Received Apr 16, 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
64 yrs
State
CA
Recovered
Not recovered
Vaccinated
Apr 7, 2026
Onset
Apr 7, 2026
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (ADACEL)SANOFI PASTEUR1U8669AAIM / LA

Symptoms (5)

ArthralgiaChillsFatigueMyalgiaPyrexia

Symptom narrative

Fever, chills, muscle ache and fatigue for 3 days. Lt shoulder pain-ongoing. Patient was referred to Occupational Medicine

Current illness

no illnesses at the time of the vaccine administration. Unknow if the pt had any illnesses one month prior to the vaccine.

Medical history

none reported

Other medications

unknown

Allergies

adhesive tape

Lab data

none