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Report #2901614

Received Jun 28, 2026

DiedHospitalized
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
78 yrs
State
FL
Recovered
Not recovered
Vaccinated
Dec 28, 2024
Onset
Jan 1, 2025
Days to onset
4
Hospital days
10

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALSUNK—SYR / LA

Symptoms (3)

DeathIntensive carePulmonary alveolar haemorrhage

Symptom narrative

He developed an immunologis reaction known as diffuse alveolar hemorrhage three days after the vaccination and passed away 10 days later from it.

Current illness

Diabetes, High BP, Depression, Insomnia

Medical history

Diabetes, High BP, Depression

Other medications

Mounjaro Metformin Bisoprolol Atorvastatin Duloxetene Losartan

Allergies

Sulfa, Zolpidem

Lab data

ICU records