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Report #2854018

Received Aug 13, 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
69 yrs
State
TX
Recovered
Unknown
Vaccinated
Jun 20, 2025
Onset
Jun 20, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALS1—IM / LA

Symptoms (2)

Fluid retentionThrombosis

Symptom narrative

PATIENT REPRESENATATIVE STATED THAT PATIENT HAS FLUID BUILD UP AND BLOOD CLOTS. THE REP DID NOT ELABORATE, AND WE HAVE NOT BEEN ABLE TO GET IN CONTACT WITH PATIENT

Current illness

N/A

Medical history

N/A

Other medications

N/A

Allergies

NKDA

Lab data

N/A