Report #2871017

Received Nov 6, 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: 58 yrs
State: ID
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	2	332L4	IM / LA

Symptoms (1)

Product preparation issue

Symptom narrative

Vaccine was administered without being reconstituted with the antigen powder.

Current illness

N/A

Medical history

Dysphagia Dyslipidemia Eosinophilic esophagitis

Other medications

Omeprazole 40 MG Capsule Delayed Release Tadalafil 5 MG Tablet Allegra Allergy

Allergies

N/A

Lab data

N/A