Report #2854812

Received Aug 19, 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: 88 yrs
State: SD
Recovered: Unknown
Vaccinated: Aug 18, 2025
Onset: Aug 18, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

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

Symptoms (2)

No adverse eventProduct preparation issue

Symptom narrative

Shingrix vaccine administered by charge nurse. Vaccine not reconstituted prior to administration, Adjuvant only administered. No adverse effects noted. Resident stayed at facility. PCP and Pharmacy updated.

Current illness

Other medications

Tylenol, Potassium Chloride, Prerevision AREDS, Pantoprazole, Calcium Carbonate, Cyanocobalamin, docusate sodium, furosemide, magnesium, tamsulosin, Vitamin D2

Allergies

NKA

Lab data

None