Report #2831848

Received Mar 17, 2025

Hospitalized

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Overview

Sex: Female
Age: 90 yrs
State: IL
Recovered: Unknown
Vaccinated: Mar 10, 2025
Onset: Mar 11, 2025
Days to onset: 1
Hospital days: 2

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
PNC21	PNEUMO (CAPVAXIVE)	MERCK & CO. INC.	1	Y013009	IM / LA
RSV	RSV (ABRYSVO)	PFIZER\WYETH	1	LG9828	IM / LA
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	MG5S9	IM / LA

Symptoms (1)

Hypersensitivity

Symptom narrative

PATIENT HAD ALLERGIC REACTION TO THE VACCINES AND WAS TAKEN THE ER. PATIENT WAS IN THE HOSPITAL FOR 2 DAYS WAS DISCHARGED