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Report #2867550

Received Oct 22, 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
83 yrs
State
RI
Recovered
Recovered
Vaccinated
Sep 24, 2025
Onset
Sep 24, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALS3GJ952SC / LA

Symptoms (1)

Extra dose administered

Symptom narrative

none

Current illness

Mid-lower back pain, rash

Medical history

Chronic low back pain Osteopenia Varicose veins of lower extremity Pain in left lower limb Insomnia At low risk for fall Restless legs Smoking cessation assistance Osteoarthritis Dizziness Coronary arteriosclerosis Hyperlipidemia Essential hypertension

Other medications

-acetaminophen 500 mg tablet -albuterol sulfate HFA 90 mcg/actuation aerosol inhaler -amLODIPine 5 mg tablet -Anoro Ellipta 62.5 mcg-25 mcg/actuation powder for inhalation -aspirin 81 mg tablet,delayed release -diclofenac 1 % topical gel -g

Allergies

Tramadol- vomiting

Lab data

N/A