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Shingles
1. Are aged 17 years or under?
Yes
No
2. Are pregnant or there is a chance you might be pregnant?
Yes
No
1. Are immunosuppressed?
Yes
No
2. Are experiencing redness of the eye(s) or vision problems?
Yes
No
3. Have a rash on your nose?
Yes
No
1. Have a rash which? (select as appropriate)
Began as a burning, stabbing, throbbing, itching or tingling sensation
Appeared initially as red spots on a pink-red background
Some blisters have now burst, others filled with blood or pus. The area surrounding the rash is dry, with crusts and scabs forming
Is only on one side of your body
2. Have a fever?
Yes
No
3. Have a headache?
Yes
No
1. Have a rash which? (select as appropriate)
Appeared within the last 72 hours and (tick those that apply)
Is affecting your neck, limbs, anus or genital area
Is causing you moderate to severe pain
You are aged 50 years or over
Appeared within the last 7 days and (tick those that apply)
Is causing you severe pain
Is not healing
You have severe atopic dermatitis, eczema, or other skin condition
You are aged 70 years or over
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