Adverse Event Reporting
| VAERS ID | 995864 |
|---|---|
| Gender | Female |
| Age | 59 |
| StateCode | OH |
| Pharmaceutical Company | MODERNA |
| Lot Number | 013L20A |
| Number of vaccinations | 1 |
| Vaccinated | 2021-01-18 |
| Onset | 2021-01-19 |
| Condition | Permanent Disability |
Symptoms
- Herpes zoster
Current Illness
Lupus SLE, High Blood Pressure,Fibromylagia, Osteoporasis, Srogen Syndrome
Preexisting Conditions
SLE Lupus,Fibromyalgia, Osteoporosis, High Blood Pressure
Other Medications
Vitamin C, B-12, Multivitami n,Calcium, Vitamin D supplements. Amlodipine, Norvasc,metoprolol, Cellcept,Prednisone, plaquenil,Atacand. Calcium
Previous Vaccinations
Allergies
Dilaudid, Bactrim
Laboratory Data
1-20-21 Emergeny room visit@ Medical Center
Write-up
Developed Shingles