VAERS ID: 1708028

AGE: 36| SEX: F|STATE: SC (United States)

Description

Developed shingles 10 days post 1st Covid injection

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Symptoms

Herpes zoster

Vaccines

VAX DATE: 09-03-2021| ONSET DATE: 09-13-2021| DAYS TO ONSET: 10
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA IM RA

RECVDATE:09-17-2021
RPT_DATE:
CAGE_YR:36
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Urgent care visit to confirm shingles diagnosis 9/16/2021
V_ADMINBY:PHM
OTHER_MEDS:Synthroid, cytomel, topamax
CUR_ILL:None
HISTORY:Hypothyroid, migraines
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:09-17-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:Imitrex, betadine
V_FUNDBY:

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