Report #2852407

Received Aug 1, 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: Male
Age: 57 yrs
State: WA
Recovered: Unknown
Vaccinated: Aug 1, 2025
Onset: Aug 1, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	PJ353	IM / LA

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

Vaccine reconstituted with normal saline instead of adjuvant suspension component, no adverse reaction noted, patient alerted.

Other medications

Lozartan, levothyroxine, amlodipine, rosuvastatin, omeprazole, naproxen, albuterol

Allergies

Apples, blackberries, peaches

Lab data

None