VAERS ID: 1881365

AGE: 31| SEX: F|STATE: OH (United States)

Description

Rash initially started as a single itchy blister distal to injection site on anterior forearm. Rash multiplied into a shingles like rash- made a doctor's appointment and received antiviral medication. After 1 day of medication rash crossed the midline and was told it could be a poison ivy. Steroid cream prescribed and no relief given after several days. Rash continued to spread and evolved into a target lesion rash on both forearms, upper arms, chest, abdomen, thighs, calves, ankles, feet, toes, plantar surface, palms of hands, fingers, neck and face. Returned to doctor and was given a 12 day taper of prednisone. No relief of itching or spreading after 7 days. Rash started healing slowly and after finishing steroid, rash reappeared on right and left forearms, abdomen and thighs. Was referred to an allergist while on the steroid. Dr. did a blood test for lyme disease and shingles iGg. Lyme was negative, shingles iGg was positive, but not high enough to indicate recent outbreak. Rash started resolving after several days. One week after resolution, rash reappeared and Dr. performed a biopsy. Results of biopsy were hypersensitivity reaction. Rash is still reoccuring as of 11/18/2021.

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Symptoms

Rash, Pruritus, Hypersensitivity, Herpes zoster, Blister, Blood test abnormal, Biopsy, Borrelia test negative

Vaccines

VAX DATE: 09-03-2021| ONSET DATE: 09-09-2021| DAYS TO ONSET: 6
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA 049E21A IM RA

RECVDATE:11-18-2021
RPT_DATE:
CAGE_YR:31
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Blood test for Lyme and Shingles iGg- 10/06/2021 Lyme- negative Shingles iGg- positive Biopsy of rash- 10/18/2021 diagnosis- hypersensitivity reaction
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:11-18-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:penicillin
V_FUNDBY:

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