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Report #2857893

Received Sep 10, 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
60 yrs
State
CA
Recovered
Recovered
Vaccinated
Sep 5, 2025
Onset
Sep 5, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALS193N4JIM / LA

Symptoms (2)

No adverse eventProduct preparation issue

Symptom narrative

Vaccine/component omission - Diluent given without the vaccine: only the adjuvant suspension component (vial 1 of 2) was administered to the patient. It was not reconstituted with the Lyophilized gE Antigen component (vial 2 of 2) as indicated. The patient did not receive the entire dosage of the Shingrix as a result. No Adverse reactions were reported by the patient.

Current illness

n/a

Medical history

n/a

Other medications

n/a

Allergies

n/a

Lab data

n/a