VAERS ID: 907314

AGE: 39| SEX: F|STATE: CA (United States)

Description

Shingles, left T4 dermatome. Treated with valacyclovir. Adequate response to treatment.

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Symptoms

Herpes zoster

Vaccines

VAX DATE: 12-21-2020| ONSET DATE: 12-21-2020| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 0 COVID19 PFIZER\BIONTECH EH9899 IM LA

RECVDATE:12-23-2020
RPT_DATE:
CAGE_YR:39
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:omeprazole 20mg PO Day
CUR_ILL:none
HISTORY:GERD
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:12-23-2020
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:NKDA
V_FUNDBY:

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