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Report #2901687

Received Jun 29, 2026

Office visit

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

Overview

Sex
Female
Age
58 yrs
State
IL
Recovered
Not recovered
Vaccinated
Oct 11, 2025
Onset
Oct 11, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (UNKNOWN))UNKNOWN MANUFACTURER13052549IM / LA

Symptoms (6)

Injection site bruisingInjection site erythemaInjection site painInjection site pruritusInjection site swellingJoint injury

Symptom narrative

Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe

Allergies

amoxicillin, tetracycline