National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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

This is VAERS ID 1477739

Case Details

VAERS ID: 1477739 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Florida  
   Days after vaccination:140
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrochlorothiazide, Lovastatin, Levothyroxine, Centrum multi-vitamins
Current Illness: None
Preexisting Conditions: Controlled hypertension, Controlled hypothyroidism, Controlled hypercholesterolemia
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Developed shingles on 07/12/2021. Never had shingles before. Started at skin area around T-12 and followed rib cage all the way around to midline on stomach. Doctor ordered acyclovir.

New Search

Link To This Search Result:

Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166