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This is VAERS ID 1243892

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1243892
VAERS Form:2
Age:41.0
Sex:Male
Location:Kentucky
Vaccinated:2021-04-06
Onset:2021-04-12
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: Herpes zoster, Axillary pain, Allergy test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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


Changed on 5/7/2021

VAERS ID: 1243892 Before After
VAERS Form:2
Age:41.0
Sex:Male
Location:Kentucky
Vaccinated:2021-04-06
Onset:2021-04-12
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: Herpes zoster, Axillary pain, Allergy test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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 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


Changed on 5/14/2021

VAERS ID: 1243892 Before After
VAERS Form:2
Age:41.0
Sex:Male
Location:Kentucky
Vaccinated:2021-04-06
Onset:2021-04-12
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: Herpes zoster, Axillary pain, Allergy test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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 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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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1243892&WAYBACKHISTORY=ON


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