Report #2870163

Received Nov 3, 2025

Office visit

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: HI
Recovered: Recovered
Vaccinated: Sep 16, 2025
Onset: Sep 19, 2025
Days to onset: 3
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	1	3052296	IM / LA

Symptoms (2)

Herpes zosterPustule

Symptom narrative

Systemic: Patient said he developed shingles symptoms (pustules)-Medium, Additional Details: Patient reported several days after receiving vaccinations he developed symptoms of shingles. He was unsure of whether it was an association or causal relationship after receiving both vaccines on 9/16/25, Other Vaccines: VaccineTypeBrand: Fluad; Manufacturer: Sequris; LotNumber: 407243; Route: Intramuscular; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN