Received Dec 11, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | 6A4XG | IM / LA |
Pt's spouse reports on 12/11/25 that the patient is experiencing pain and very limited motion in her left arm and has been since the date of the vaccine. Spouse said that the patient's provider stated that they believe the patient received the vaccine too high in the shoulder joint (SIRVA). Pt reports having symptoms as of today 12/11/25 and has been since date that the vaccine was administered.
None reported
No reported long standing health conditions
Nothing of record that patient received at this pharmacy or was reported to us.
No known or reported allergies.
Pt's spouse reports that she will undergo an MRI to determine extent of damage but has not reported any medical tests or laboratory results to this date.