Received Dec 17, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | 72r4g | IM / RA |
Site: Pain at Injection Site-Mild, Systemic: needle fell off and vaccine leaked onto patient arm. repeated vaccine-Mild, Additional Details: needle fell off and vaccine leaked onto arm. Readministered vaccine, Other Vaccines: VaccineTypeBrand: Arexvy; Manufacturer: GSK; LotNumber: g347x; Route: IM; BodySite: Left deltoid; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: Spikevax; Manufacturer: Moderna; LotNumber: 305283; Route: IM; BodySite: Left deltoid; Dose: ; VaxDate: UNKNOWN