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Report #2866051

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
Female
Age
81 yrs
State
FL
Recovered
Recovered
Vaccinated
Sep 5, 2023
Onset
Sep 5, 2023
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUAD)SEQIRUS, INC.UNK370269IM / RA
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALS4A5YCAIM / LA

Symptoms (2)

Extra dose administeredNo adverse event

Symptom narrative

Customer received extra dose of Shingrix; had already finished series 2018 and 2019; no symptoms reported or concerns.

Current illness

diabetes

Medical history

diabetes

Other medications

lantus and novolog

Allergies

none

Lab data

none