Report #2867531

Received Oct 21, 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: 66 yrs
State: MA
Recovered: Recovered
Vaccinated: Oct 21, 2025
Onset: Oct 21, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	G77F3	IM / RA

Symptoms (2)

No adverse eventProduct preparation issue

Symptom narrative

At 7:23 pm, injected at right deltoid Shingrix vaccine with only the adjuvant suspension component that's not mixed with the antigen powder. No symptoms, patient was alert and not in distress for 15 min observation at nursing. Denied pain. Vitals were stable.