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Report #2858741

Received Sep 15, 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
11 yrs
State
MD
Recovered
Recovered
Vaccinated
Sep 10, 2025
Onset
Sep 10, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALSUNK—IM / RA

Symptoms (2)

Circumstance or information capable of leading to medication errorWrong product administered

Symptom narrative

During the administration of the 11-year-old immunizations, the patient was extremely combative and uncooperative. Due to the level of resistance, an additional clinical assistant was called in to help safely restrain the patient for the vaccine administration. While attempting to manage the situation, the assisting clinical assistant removed a Shingrix vaccine from her pocket and inadvertently placed it in the same tray/area as the scheduled vaccines intended for the patient. Due to the chaotic circumstances and lack of clear labeling or communication, the Shingrix vaccine was mistakenly administered to the patient without my knowledge.