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Report #2828943

Received Mar 1, 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
68 yrs
State
TX
Recovered
Unknown
Vaccinated
Feb 28, 2025
Onset
Mar 1, 2025
Days to onset
1
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALS193kk4IM / RA

Symptoms (4)

FallInjuryLimb injuryLoss of consciousness

Symptom narrative

Patient states he fell on boat the next day and he passed out once he got home. Patient states fall and passing out resulted in minor injuries and a hurt toe.

Other medications

Trazodone, amlodipine, lisinopril

Allergies

codeine