Report #2826095

Received Feb 13, 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: 55 yrs
State: VT
Recovered: Recovered
Vaccinated: Feb 11, 2025
Onset: Feb 13, 2025
Days to onset: 2
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	N/A	LJ5284	IM / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	N/A	9YB4G	IM / LA

Symptoms (1)

Product preparation error

Symptom narrative

nurse administered a Shingrix vaccine that was diluted with the sterile diluent provided for Merck live vaccines, did not use adjuvant suspension component in reconstitution

Current illness

Medical history

depression, fatigue, GERD, MDD, migraine, tobacco user

Other medications

fluoxetine 20mg oral capsule daily, trazodone 50mg oral tablet, take 1/2 tab (25mg) daily, epi pen PRN anaphylaxis

Allergies

Augmentin, Bee stings