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Report #2838261

Received Apr 28, 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
68 yrs
State
CA
Recovered
Not recovered
Vaccinated
Apr 17, 2025
Onset
Apr 19, 2025
Days to onset
2
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALS2ts525IM / LA

Symptoms (5)

Facial painMouth ulcerationOral mucosal eruptionParaesthesiaStomatitis

Symptom narrative

Systemic: Tingling (specify: facial area, extemities)-Severe, Additional Details: Patient stated developed Mouth sores/ulcers in gum and pain on left side of face. feel tingling sensation and rash inside of mouth in only 1 side of the face (left side). went to dentist and gave peridex mouthwash.