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Report #2826345

Received Feb 14, 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
64 yrs
State
OH
Recovered
Unknown
Vaccinated
Feb 11, 2025
Onset
Feb 11, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALSUNK7zm55—

Symptoms (1)

Product preparation issue

Symptom narrative

administered 2 adjuvants (1ml total) to a patient and did not put powder (antigen) component into liquid; administered 2 adjuvants (1ml total) to a patient and did not put powder (antigen) component into liquid; This non-serious case was reported by a nurse via call center representative and described the occurrence of inappropriate preparation of medication in a 64-year-old male patient who received Herpes zoster (Shingrix) (batch number 7zm55, expiry date 15-NOV-2026) for prophylaxis. On 11-FEB-2025, the patient received Shingrix. On 11-FEB-2025, an unknown time after receiving Shingrix, the patient experienced inappropriate preparation of medication (Verbatim: administered 2 adjuvants (1ml total) to a patient and did not put powder (antigen) component into liquid) and inappropriate dose of vaccine administered (Verbatim: administered 2 adjuvants (1ml total) to a patient and did not put powder (antigen) component into liquid). The outcome of the inappropriate preparation of medication and inappropriate dose of vaccine administered were unknown. Additional Information: GSK receipt date: 12-FEB-2025 The LPN (Licensed practical nurses) reported that day before reporting that the MA(Medical assistant) administered two adjuvants (1ml total) to a patient and did not put powder (antigen) component into liquid which led to, inappropriate preparation of medication and inappropriate dose of vaccine administered.