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From the 6/4/2021 release of VAERS data:

This is VAERS ID 1243892



Case Details

VAERS ID: 1243892 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-04-06
Onset:2021-04-12
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Allergy test, Axillary pain, Herpes zoster
SMQs:, Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lipitor, Lisinopril, Alvesco inhaler, Xopenex, BaclofenRemeron
Current Illness: N/A
Preexisting Conditions: HTN, COPD, Hyperlipidemia
Allergies: PCN, Sulfa, NSAIDS
Diagnostic Lab Data: Wool test
CDC Split Type:

Write-up: 4-12-21 Patient reported to sick call with soreness under right arm. Not relieved by cool compresses or hydrocortisone cr. came to clinic for c/o allergy to possibly wool blanket- Wool test performed 4-22 wool test negative, but several zosters noted. Dx Shingles- started on Acyclovir


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