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Report #2891955

Received Apr 7, 2026

Office visit

Reports are unverified and do not show that a vaccine caused an event. 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)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS172NF3IM / 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