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From the 1/14/2022 release of VAERS data:

This is VAERS ID 909496

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Case Details

VAERS ID: 909496 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Colorado  
Vaccinated:2020-12-23
Onset:2020-12-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blister, Burning sensation, Ear pain, Lymphadenopathy, Paraesthesia, Rash, Varicella zoster virus infection
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: mvi, omega 3
Current Illness: none
Preexisting Conditions: none
Allergies: vibramycin
Diagnostic Lab Data: started on Valtrex 12/26 pm, f/u with optho this week
CDC Split Type:

Write-up: 24 hrs- lymphadenopathy, submandibular, ear pain 36 hrs- primary outbreak of VZV- trigeminal n involvement- tingling/burning 48 hrs- rash and vesicles in trigeminal n distribution


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