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Report #2887806

Received Mar 5, 2026

Office visit
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Overview

Sex
Male
Age
59 yrs
State
Recovered
Unknown
Vaccinated
Jan 28, 2026
Onset
Jan 28, 2026
Days to onset
0
Hospital days

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALSUNK

Symptoms (1)

Product preparation issue

Symptom narrative

Diluent of Shingrix vaccine administered to patient instead of the mixture