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Report #2893303

Received Apr 20, 2026

Reports are unverified and do not show that a vaccine caused an event. Full disclaimer

Overview

Sex
Male
Age
78 yrs
State
IL
Recovered
Unknown
Vaccinated
Jan 6, 2026
Onset
Jan 6, 2026
Days to onset
0
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
RSVRSV (MRESVIA)MODERNAUNK——
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALSUNK——

Symptoms (5)

Anaphylactic reactionHeadacheHypoaesthesiaMuscle tightnessPharyngeal swelling

Symptom narrative

Reported Symptoms: 10002218:ANAPHYLAXIS; 10019211:HEADACHE; Narrative: Patient received the shingles vaccine and RSV vaccine at the facility. Patient received care at community hospital after speaking with Tele-Emergency provider at hospital. RN documented patient received BENADRYL, Epinephrine and Decadron in the ED. Presentation at the ED included throat swelling, neck tightness, and facial numbness. Other Relevant HX: Other: