Report #2855619

Received Aug 26, 2025

Died

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: 65 yrs
State: WI
Recovered: Unknown
Vaccinated: Aug 13, 2025
Onset: Aug 16, 2025
Days to onset: 3
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	2	j32pb	SYR

Symptoms (1)

Death

Symptom narrative

Unknown. Report is made after review of medical record by medical examiner. Unknown if recent vaccination had any effect of cause of death which is reported as Atherosclerotic and Hypertensive Cardiovascular Disease with Other significant conditions: diabetes mellitus, hypothyroidism, smoking, and chronic ethanol use. No autopsy was performed.

Medical history

Atherosclerotic and hypertensive cardiovascular disease with prior myocardial infarction, emergent repair of a abdominal aortic aneurysm (2013), subclinical hypothyroidism, type 2 diabetes mellitus, tobacco use, alcohol abuse, Barrett's esophagus.