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Report #2894379

Received Apr 27, 2026

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

Overview

Sex
Male
Age
50 yrs
State
MD
Recovered
Not recovered
Vaccinated
Apr 10, 2026
Onset
Apr 10, 2026
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
VARZOSZOSTER (SHINGRIX)GLAXOSMITHKLINE BIOLOGICALS1NT357IM / LA

Symptoms (6)

Eye swellingMouth swellingOral mucosal blisteringPyrexiaSwelling faceSwollen tongue

Symptom narrative

Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Fever-Severe, Systemic: blisters around mouth-Severe, Additional Details: pt came in 10 days later and reported the above, i recommended for him to see his dr. who he said was [name withheld]. Still visible blisters around lips/mouth., Other Vaccines: VaccineTypeBrand: Prevnar 20; Manufacturer: Wyeth/Pfizer; LotNumber: MN0749; Route: IM; BodySite: LEFT ARM; Dose: 1; VaxDate: 04/10/2026