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