Report #2866046

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: Sep 5, 2023
Onset: Sep 5, 2023
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUAD)	SEQIRUS, INC.	N/A	370269	IM / RA
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	4	A5YCA	IM / LA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Customer received extra Shingrix dose; had already completed series 2018 and 2019; no concerns reported by customer

Current illness

leukemia

Medical history

leukemia

Other medications

eye drops; name is not recalled by customer

Allergies

no allergies

Lab data

none