Received Jul 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 5Y4TL | IM / RA |
Site: Pain at Injection Site-Severe, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fever-Mild, Systemic: SHORTNESS OF BREATH MUSCLE ACHES-Medium, Systemic: Nausea-Severe, Additional Details: SHORTNESS OF BREATH AND CHEST PAIN HAD BEEN PRESENT PRIOR TO VACCINE, Other Vaccines: VaccineTypeBrand: COVID; Manufacturer: PFIZER; LotNumber: ME6072; Route: INTRAMUSCULAR; BodySite: RIGHT ARM; Dose: UNKNOWN; VaxDate: 06/30/2025
no known allergies