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Report #2871785

Received Nov 10, 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
Female
Age
77 yrs
State
FL
Recovered
Unknown
Vaccinated
Oct 9, 2025
Onset
Oct 9, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALS2995d52IM / LA

Symptoms (4)

Injection site bruisingInjection site erythemaInjection site painInjection site swelling

Symptom narrative

Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: all this relayed to me by pharm d on 10/28/25. She states she could not fill out this form. She states patient actually came to her on or about 10/10/25 with this complaint. She states patient had a myriad of health complaints she felt was associated with her shot. I have reached out 3 times to phone number on file. I have had no return calls. Unfortunately this form will not autofill which is why she my have had issues filling it out.