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Report #2866040

Received Oct 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
80 yrs
State
FL
Recovered
Recovered
Vaccinated
Apr 24, 2023
Onset
Apr 24, 2023
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALS3G9455IM / RA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Customer received an extra Shingrix vaccine; had already received in 2018 and 2019. Customer did not report any symptoms or concerns.

Current illness

leukemia

Medical history

leukemia

Other medications

eye drops; name is not recalled by customer

Allergies

no allergies

Lab data

none