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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1475011



Case Details

VAERS ID: 1475011 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-07-05
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Herpes zoster
SMQs:, Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ciclopirox cream, lorazepam, escitalopram, risperidone
Current Illness:
Preexisting Conditions:
Allergies: keflex
Diagnostic Lab Data:
CDC Split Type:

Write-up: patient reports developing shingles shortly after receiving the dose of Pfizer vaccine


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1475011


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