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This is VAERS ID 1301669

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2021

VAERS ID: 1301669
VAERS Form:2
Age:43.0
Sex:Male
Location:Rhode Island
Vaccinated:2021-04-07
Onset:2021-05-02
Submitted:0000-00-00
Entered:2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Herpes zoster

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Daily multi vitamin, Lutein, Biotin, fiber supplement, Zyrtec,
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Approximately four weeks after receiving the shot I came down with symptoms related to Shingles and was diagnosed with such five days later. Unsure if there is causation but I thought it was worth reporting because other than receiving the covid vaccine I have had no changes or health issues or anything else that would indicate a change in my immunity status that could have resulted in this onset. I am a bit on the young side to be experiencing Shingles so thought it was worth reporting.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1301669&WAYBACKHISTORY=ON


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