Report #2824915

Received Feb 6, 2025

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: Male
Age: 66 yrs
State: WA
Recovered: Unknown
Vaccinated: Feb 6, 2025
Onset: Feb 6, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	N35N9	IM / LA

Symptoms (1)

Product preparation issue

Symptom narrative

When going to document the shingles vaccine given to patient, I realized he was only given the reconstitute with adjuvant suspension component liquid. He did not receive the compound with it. As of right now patient has had no reactions. NDC: 58160-829-03 Lot: N35N9 EXP: 11/15/26 0.5mL Adjuvant suspension component Mfd by Glaxosmithline Bio

Current illness

none

Medical history

none

Other medications

Albuterol Sulfate HFA 90 mcg/ actuation aerosol inhaler. inhale 2 puffs every 4 hours by inhalation route as needed

Allergies

none

Lab data

none