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Report #2891476

Received Apr 1, 2026

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
63 yrs
State
MO
Recovered
Recovered
Vaccinated
Mar 4, 2026
Onset
Mar 4, 2026
Days to onset
0
Hospital days

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR1ut8878kaIM / LA
IPVPOLIO VIRUS, INACT. (IPOL)SANOFI PASTEUR2y1d78p1IM
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALS15L9A4IM / RA

Symptoms (2)

No adverse eventProduct preparation issue

Symptom narrative

Shingrix vaccine was mixed with the wrong dilutant (used the MMR/Varicella vaccine dilutant). No adverse effects. A repeat Shingrix vaccine was given 3/30/26.

Current illness

none

Medical history

None

Other medications

Unknown

Allergies

None

Lab data

None