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VAERS Report 2137039

Case Report Section

Vaer Report Details

Age: 60 years old

Gender: Female

State: New York

Patient Died?
No
Vaccine information

Name: ZOSTER (SHINGRIX)

Type: Varicella-zoster vaccine

Manufacturer: GLAXOSMITHKLINE BIOLOGICALS

Lot: unknown


Date report was received
2022-02-24
Date form completed
Date Vaccinated
2022-01-28
Date of Onset
3
Number of days (onset date – vaccination date)
3
Adverse Event Description

chicken pox blister appeared on my chest and was very itchy. also had the usual symptoms of overly tired, achy, dizziness

Lab Data
na
List of symptoms
pruritus fatigue pain blister dizziness varicella
Patient Died?
No
Date Died
NA
Birth defect
false
Vaccine Administered By:
Pharmacy or store
Vaccine Purchased By:
Unknown
Patient visit ER?
No
Patient Hospitalized?
No
Stay in hospital
No
Days in hospital
Unspecified
Permanent disability?
No
Allergies:
gluten allergy
Current Illness
na