Report #2842761

Received May 27, 2025

HospitalizedER / ED visit

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Overview

Sex: Female
Age: 87 yrs
State: IL
Recovered: Recovered
Vaccinated: May 27, 2025
Onset: May 27, 2025
Days to onset: 0
Hospital days: 4

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	2	9L944	IM / LA

Symptoms (8)

ArthralgiaCulture negativeCystIncisional drainageInjection site discolourationInjection site painProduct administered at inappropriate siteSuture insertion

Symptom narrative

05/01/25 Patient received Vaccination in the left arm, witness to the vaccine and patient stated it was administered about 1 finger width(approximately 5/8) below the shoulder bone into the left deltoid. Symptoms started 3 hours post administration. Pt experienced severe pain in the left shoulder. Symptoms progressed to pain in the left arm from the shoulder down to the elbow and arm turned blue. 05/01/25 3 hours 45 minutes post vaccine administration pt calls 911 and is transported by ambulance to the emergency room -

Medical history

Congestive Heart Failure

Other medications

Multivitamin, vitamin D, Lecithin, Lutein, Fluoxetine 20 mg capsule, Metformin 500 mg tablets, Simvastatin 20 mg tablets, Calcium

Allergies

No Known Allergies

Lab data

05/01/25 Emergency Room administered Oxycodone to pt for the pain and drained the bump near the Superior Anterior coracoid process and cultured the fluid. Results were inconclusive (nothing grew from the culture per pt) Hospital made an incision, drained and cleaned the wound and stitched the incision. Afterwards administered antibiotics by mouth and intravenously.