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This is VAERS ID 1696178

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First Appeared on 9/17/2021

VAERS ID: 1696178
VAERS Form:2
Age:26.0
Sex:Female
Location:Oregon
Vaccinated:2021-09-04
Onset:2021-09-08
Submitted:0000-00-00
Entered:2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821281 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Herpes zoster, Rash, Musculoskeletal chest pain

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)? Yes
Hospitalized? No
Previous Vaccinations: HPV (Merck) vaccine 8/30/2007 Lot 1062u. Immidiately after vaccine, mentrual cycle stopped, was diagnosed with Premature Ovarian
Other Medications: Amitryptaline, Sertraline, Yaz, Protonix, Synthroid, Zertec
Current Illness: no acute illnesses
Preexisting Conditions: Fibromyalgia, Hashimotos, Premature Ovarian Failure, migraines, GERD
Allergies: peanuts, ketamine
Diagnostic Lab Data: no tests were performed, doctor started me on antiviral medication.
CDC 'Split Type':

Write-up: I was Vaccinated on 9/4. On 9/8 in the evening time, I began having rib pain. I assumed I had dislocated it (I have before)and tried to fix it at home. After a few days of pain, I went to the urgent care and they saw a rash that indicated shingles. After talking with the doctor about what could have triggered this, I meantioned I had been vacinated a few days before symptoms started. The doctor stated that the shingles were liekly triggered by the vaccine.

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