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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1374296

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Case Details

VAERS ID: 1374296 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-01
Onset:2021-05-30
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blister, Herpes zoster, Pain of skin, Rash, Scab, Skin burning sensation
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: shingrix
Other Medications: Atorvastation Eliquis HCTZ Trazodone Venlafaxine (none new)
Current Illness: none
Preexisting Conditions: Cardiomyopathy, pacemaker, hypertension, hyperlipidemia
Allergies: Shingrix Procaine
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Patient went to urgent care on 5/30/21 with a rash on her upper arm. This appears to be shingles with the distribution and vesicles that were fluid-filled. She was given prednisone orally. I am seeing her 5 days later and she has a scabbed over rash in a dermatomal distribution that still stings and burns. No other contact dermatitis risk factors. I think this is Herpes Zoster.


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