Report #2839292

Received May 2, 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: Female
Age: 79 yrs
State: MI
Recovered: Recovered
Vaccinated: May 2, 2025
Onset: May 2, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	BY4NA	IM / LA

Symptoms (1)

Product preparation issue

Symptom narrative

Vaccine was not reconstituted, RN administered only the diluent. Patient was contacted, no concerns at the inj sight. Patient aware of need to readminister vaccine after 1 month then follow continued guidelines for done #2 to finish the series 2-6 months after.

Current illness

None

Medical history

CLL, CKD stage 3, DM Type 2, hypothyroidism

Other medications

Lisinorpil, levothyroxine, eliquis

Allergies

None

Lab data

None