Received Sep 1, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | 99D52 | IM / RA |
Site: Itching at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Severe, Systemic: HIVES FROM HANDS TO ARMS-Severe, Systemic: Visual Changes/Disturbances-Medium, Additional Details: PATIENT CALLED A FEW DAYS AFTER RECEIVING VACCINE WITH COMPLAINT OF HIVES ON ARMS AND CALLED AGAIN ON 08/15/25 WITH CONTINUED REACTION OF HIVES SPREADING ON ARMS, Other Vaccines: VaccineTypeBrand: SHINGRIX; Manufacturer: GLAXOSMITHKLINE; LotNumber: 99D52; Route: INTRAMUSCULAR; BodySite: RIGHT DELTOID; Dose: 2; VaxDate: 07/24/2025