Report #2876271

Received Dec 4, 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: 59 yrs
State: MI
Recovered: Recovered
Vaccinated: Dec 3, 2025
Onset: Dec 3, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	1	—	IM / LA
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	—	IM / LA

Symptoms (1)

Product preparation issue

Symptom narrative

Patient was supposed to be given Shingrix vaccine and only diluent was given.

Current illness

None

Medical history

Type 2 Diabetes Mellitus

Other medications

Aspirin 81 mg, Buspirone 10 mg, Carvedilol 3.125 mg, Zyrtec 10 mg, Plavix 75 mg, Hydroxyzine 25 mg, Lisinopril 2.5 mg, Metformin 500 mg, Multivitamin, Pravastatin 10 mg, Tadalafil 20 mg

Allergies

None

Lab data

None