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SALIENT POINTS:
Constitutional symptoms start AFTER rash (or mild before rash).
He likely was vaccinated as a child; BUT while the vaccine is highly effective, no vaccine is 100% effective.
Characteristic vesicles on erythematous base at DIFFERENT stages (polymorphic)
Lesions begin in more central locations (centripetal)
Can have mucous membranes (oral and genital ulcers) involved.
ANSWER 1
(3) Chickenpox (VZV)