Report #2837920

Received Apr 24, 2025

Office visit

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: Female
Age: 69 yrs
State: CA
Recovered: Recovered
Vaccinated: Apr 3, 2025
Onset: Apr 3, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	N/A	LX4482	IM / LA
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	MG5S9	IM / RA

Symptoms (4)

ErythemaHypersensitivityIncontinencePeripheral swelling

Symptom narrative

04/14/2025-"Patient called in and stated after receiving the shingles vaccine she had an allergic reaction. I asked patient if she had called us to report the allergic reaction, patient stated she did not and "would let it take it's course". Patient stated she was experiencing redness, arm swelling, caused incontinence that causes her to wake up 3-4 times a night x10 days. Patient stated she was not experiencing any symptoms today." Pt is scheduled to f/u for her reaction today at 2:15pm

Medical history

constipation elevated blood-pressure reading without diagnosis of hypertension essential hypertension gastroesophageal reflux disease pain in right foot type 2 diabetes mellitus

Other medications

clindamycin HCl clobetasol cyclobenzaprine FreeStyle Lancets FreeStyle Lite Strips gabapentin glipizide losartan medroxyprogesterone metformin omeprazole polyethylene glycol 3350 rosuvastatin

Allergies

Benadryl hives iv only Cipro hives codeine vomiting morphine vasculitis penicillin G hives Sulfa (Sulfonamide Antibiotics) headache Vicodin tachycardia