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This is VAERS ID 259589

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 259589
VAERS Form:
Age:63.0
Sex:Female
Location:Missouri
Vaccinated:2006-06-16
Onset:2006-06-18
Submitted:2006-07-10
Entered:2006-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER VACCINE LIVE (OKA/MERCK) (ZOSTAVAX) / MERCK & CO. INC. - / - - / SC

Administered by: Other      Purchased by: Unknown
Symptoms: Glossitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Information has been received from a pharmacist concerning a 62 year old female with no known allergies and a history of shingles who on 16-JUN-2006 was vaccinated SC with a dose of varicella-zoster virus vaccine live. There was no concomitant medication". On 18-JUN-2006, two days after vaccination, the patient developed a swollen tongue. The patient reported that when she woke up in the morning her tongue was swollen and she even had teeth impression on her tongue. The patient was scheduled to see her


Changed on 12/8/2009

VAERS ID: 259589 Before After
VAERS Form:
Age:63.0
Sex:Female
Location:Missouri
Vaccinated:2006-06-16
Onset:2006-06-18
Submitted:2006-07-10
Entered:2006-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER VACCINE LIVE (OKA/MERCK) (ZOSTAVAX) ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / - - / SC

Administered by: Other      Purchased by: Unknown Other
Symptoms: Glossitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0606USA05500

Write-up: Information has been received from a pharmacist concerning a 62 year old female with no known allergies and a history of shingles who on 16-JUN-2006 was vaccinated SC with a dose of varicella-zoster virus vaccine live. There was no concomitant medication". medication. On 18-JUN-2006, two days after vaccination, the patient developed a swollen tongue. The patient reported that when she woke up in the morning her tongue was swollen and she even had teeth impression on her tongue. The patient was scheduled to see her doctor on 28-JUN-2006 since she was still experiencing the problem. She had no problems breathing and eating. As of 28-JUN-2006, it was reported that the patient was recovering. No product quality complaint was involved. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 259589 Before After
VAERS Form:
Age:63.0 62.0
Sex:Female
Location:Missouri
Vaccinated:2006-06-16
Onset:2006-06-18
Submitted:2006-07-10
Entered:2006-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / - - UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Glossitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0606USA05500

Write-up: Information has been received from a pharmacist concerning a 62 year old female with no known allergies and a history of shingles who on 16-JUN-2006 was vaccinated SC with a dose of varicella-zoster virus vaccine live. There was no concomitant medication. On 18-JUN-2006, two days after vaccination, the patient developed a swollen tongue. The patient reported that when she woke up in the morning her tongue was swollen and she even had teeth impression on her tongue. The patient was scheduled to see her doctor on 28-JUN-2006 since she was still experiencing the problem. She had no problems breathing and eating. As of 28-JUN-2006, it was reported that the patient was recovering. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 7/10/2006. Additional information from the pharmacist indicated that the patient''s condition has resolved and the patient is fine. The physician''s office called the pharmacist to report that the patient''s swollen tongue was not due to ZOSTAVAX (Oka/Merck) but due to the patient''s new toothpaste. No further information is available.


Changed on 6/14/2014

VAERS ID: 259589 Before After
VAERS Form:
Age:62.0
Sex:Female
Location:Missouri
Vaccinated:2006-06-16
Onset:2006-06-18
Submitted:2006-07-10
Entered:2006-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / - UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Glossitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0606USA05500

Write-up: Information has been received from a pharmacist concerning a 62 year old female with no known allergies and a history of shingles who on 16-JUN-2006 was vaccinated SC with a dose of varicella-zoster virus vaccine live. There was no concomitant medication. On 18-JUN-2006, two days after vaccination, the patient developed a swollen tongue. The patient reported that when she woke up in the morning her tongue was swollen and she even had teeth impression on her tongue. The patient was scheduled to see her doctor on 28-JUN-2006 since she was still experiencing the problem. She had no problems breathing and eating. As of 28-JUN-2006, it was reported that the patient was recovering. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 7/10/2006. Additional information from the pharmacist indicated that the patient''s condition has resolved and the patient is fine. The physician''s office called the pharmacist to report that the patient''s swollen tongue was not due to ZOSTAVAX (Oka/Merck) but due to the patient''s new toothpaste. No further information is available.


Changed on 5/14/2017

VAERS ID: 259589 Before After
VAERS Form:
Age:62.0
Sex:Female
Location:Missouri
Vaccinated:2006-06-16
Onset:2006-06-18
Submitted:2006-07-10
Entered:2006-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / - UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Glossitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0606USA05500

Write-up: Information has been received from a pharmacist concerning a 62 year old female with no known allergies and a history of shingles who on 16-JUN-2006 was vaccinated SC with a dose of varicella-zoster virus vaccine live. There was no concomitant medication. On 18-JUN-2006, two days after vaccination, the patient developed a swollen tongue. The patient reported that when she woke up in the morning her tongue was swollen and she even had teeth impression on her tongue. The patient was scheduled to see her doctor on 28-JUN-2006 since she was still experiencing the problem. She had no problems breathing and eating. As of 28-JUN-2006, it was reported that the patient was recovering. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 7/10/2006. Additional information from the pharmacist indicated that the patient''s condition has resolved and the patient is fine. The physician''s office called the pharmacist to report that the patient''s swollen tongue was not due to ZOSTAVAX (Oka/Merck) but due to the patient''s new toothpaste. No further information is available.


Changed on 9/14/2017

VAERS ID: 259589 Before After
VAERS Form:(blank) 1
Age:62.0
Sex:Female
Location:Missouri
Vaccinated:2006-06-16
Onset:2006-06-18
Submitted:2006-07-10
Entered:2006-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / - UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Glossitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0606USA05500

Write-up: Information has been received from a pharmacist concerning a 62 year old female with no known allergies and a history of shingles who on 16-JUN-2006 was vaccinated SC with a dose of varicella-zoster virus vaccine live. There was no concomitant medication. On 18-JUN-2006, two days after vaccination, the patient developed a swollen tongue. The patient reported that when she woke up in the morning her tongue was swollen and she even had teeth impression on her tongue. The patient was scheduled to see her doctor on 28-JUN-2006 since she was still experiencing the problem. She had no problems breathing and eating. As of 28-JUN-2006, it was reported that the patient was recovering. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 7/10/2006. Additional information from the pharmacist indicated that the patient''s condition has resolved and the patient is fine. The physician''s office called the pharmacist to report that the patient''s swollen tongue was not due to ZOSTAVAX (Oka/Merck) but due to the patient''s new toothpaste. No further information is available.


Changed on 2/14/2018

VAERS ID: 259589 Before After
VAERS Form:1
Age:62.0
Sex:Female
Location:Missouri
Vaccinated:2006-06-16
Onset:2006-06-18
Submitted:2006-07-10
Entered:2006-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Glossitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0606USA05500

Write-up: Information has been received from a pharmacist concerning a 62 year old female with no known allergies and a history of shingles who on 16-JUN-2006 was vaccinated SC with a dose of varicella-zoster virus vaccine live. There was no concomitant medication. On 18-JUN-2006, two days after vaccination, the patient developed a swollen tongue. The patient reported that when she woke up in the morning her tongue was swollen and she even had teeth impression on her tongue. The patient was scheduled to see her doctor on 28-JUN-2006 since she was still experiencing the problem. She had no problems breathing and eating. As of 28-JUN-2006, it was reported that the patient was recovering. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 7/10/2006. Additional information from the pharmacist indicated that the patient''s condition has resolved and the patient is fine. The physician''s office called the pharmacist to report that the patient''s swollen tongue was not due to ZOSTAVAX (Oka/Merck) but due to the patient''s new toothpaste. No further information is available.


Changed on 6/14/2018

VAERS ID: 259589 Before After
VAERS Form:1
Age:62.0
Sex:Female
Location:Missouri
Vaccinated:2006-06-16
Onset:2006-06-18
Submitted:2006-07-10
Entered:2006-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Glossitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0606USA05500

Write-up: Information has been received from a pharmacist concerning a 62 year old female with no known allergies and a history of shingles who on 16-JUN-2006 was vaccinated SC with a dose of varicella-zoster virus vaccine live. There was no concomitant medication. On 18-JUN-2006, two days after vaccination, the patient developed a swollen tongue. The patient reported that when she woke up in the morning her tongue was swollen and she even had teeth impression on her tongue. The patient was scheduled to see her doctor on 28-JUN-2006 since she was still experiencing the problem. She had no problems breathing and eating. As of 28-JUN-2006, it was reported that the patient was recovering. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 7/10/2006. Additional information from the pharmacist indicated that the patient''s condition has resolved and the patient is fine. The physician''s office called the pharmacist to report that the patient''s swollen tongue was not due to ZOSTAVAX (Oka/Merck) but due to the patient''s new toothpaste. No further information is available.


Changed on 8/14/2018

VAERS ID: 259589 Before After
VAERS Form:1
Age:62.0
Sex:Female
Location:Missouri
Vaccinated:2006-06-16
Onset:2006-06-18
Submitted:2006-07-10
Entered:2006-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Glossitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0606USA05500

Write-up: Information has been received from a pharmacist concerning a 62 year old female with no known allergies and a history of shingles who on 16-JUN-2006 was vaccinated SC with a dose of varicella-zoster virus vaccine live. There was no concomitant medication. On 18-JUN-2006, two days after vaccination, the patient developed a swollen tongue. The patient reported that when she woke up in the morning her tongue was swollen and she even had teeth impression on her tongue. The patient was scheduled to see her doctor on 28-JUN-2006 since she was still experiencing the problem. She had no problems breathing and eating. As of 28-JUN-2006, it was reported that the patient was recovering. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 7/10/2006. Additional information from the pharmacist indicated that the patient''s condition has resolved and the patient is fine. The physician''s office called the pharmacist to report that the patient''s swollen tongue was not due to ZOSTAVAX (Oka/Merck) but due to the patient''s new toothpaste. No further information is available.


Changed on 9/14/2018

VAERS ID: 259589 Before After
VAERS Form:1
Age:62.0
Sex:Female
Location:Missouri
Vaccinated:2006-06-16
Onset:2006-06-18
Submitted:2006-07-10
Entered:2006-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Glossitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0606USA05500

Write-up: Information has been received from a pharmacist concerning a 62 year old female with no known allergies and a history of shingles who on 16-JUN-2006 was vaccinated SC with a dose of varicella-zoster virus vaccine live. There was no concomitant medication. On 18-JUN-2006, two days after vaccination, the patient developed a swollen tongue. The patient reported that when she woke up in the morning her tongue was swollen and she even had teeth impression on her tongue. The patient was scheduled to see her doctor on 28-JUN-2006 since she was still experiencing the problem. She had no problems breathing and eating. As of 28-JUN-2006, it was reported that the patient was recovering. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 7/10/2006. Additional information from the pharmacist indicated that the patient''s condition has resolved and the patient is fine. The physician''s office called the pharmacist to report that the patient''s swollen tongue was not due to ZOSTAVAX (Oka/Merck) but due to the patient''s new toothpaste. No further information is available.


Changed on 10/14/2018

VAERS ID: 259589 Before After
VAERS Form:1
Age:62.0
Sex:Female
Location:Missouri
Vaccinated:2006-06-16
Onset:2006-06-18
Submitted:2006-07-10
Entered:2006-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Glossitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0606USA05500

Write-up: Information has been received from a pharmacist concerning a 62 year old female with no known allergies and a history of shingles who on 16-JUN-2006 was vaccinated SC with a dose of varicella-zoster virus vaccine live. There was no concomitant medication. On 18-JUN-2006, two days after vaccination, the patient developed a swollen tongue. The patient reported that when she woke up in the morning her tongue was swollen and she even had teeth impression on her tongue. The patient was scheduled to see her doctor on 28-JUN-2006 since she was still experiencing the problem. She had no problems breathing and eating. As of 28-JUN-2006, it was reported that the patient was recovering. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 7/10/2006. Additional information from the pharmacist indicated that the patient''s condition has resolved and the patient is fine. The physician''s office called the pharmacist to report that the patient''s swollen tongue was not due to ZOSTAVAX (Oka/Merck) but due to the patient''s new toothpaste. No further information is available.


Changed on 8/14/2019

VAERS ID: 259589 Before After
VAERS Form:1
Age:62.0
Sex:Female
Location:Missouri
Vaccinated:2006-06-16
Onset:2006-06-18
Submitted:2006-07-10
Entered:2006-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Glossitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0606USA05500

Write-up: Information has been received from a pharmacist concerning a 62 year old female with no known allergies and a history of shingles who on 16-JUN-2006 was vaccinated SC with a dose of varicella-zoster virus vaccine live. There was no concomitant medication. On 18-JUN-2006, two days after vaccination, the patient developed a swollen tongue. The patient reported that when she woke up in the morning her tongue was swollen and she even had teeth impression on her tongue. The patient was scheduled to see her doctor on 28-JUN-2006 since she was still experiencing the problem. She had no problems breathing and eating. As of 28-JUN-2006, it was reported that the patient was recovering. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 7/10/2006. Additional information from the pharmacist indicated that the patient''s condition has resolved and the patient is fine. The physician''s office called the pharmacist to report that the patient''s swollen tongue was not due to ZOSTAVAX (Oka/Merck) but due to the patient''s new toothpaste. No further information is available.


Changed on 12/24/2020

VAERS ID: 259589 Before After
VAERS Form:1
Age:62.0
Sex:Female
Location:Missouri
Vaccinated:2006-06-16
Onset:2006-06-18
Submitted:2006-07-10
Entered:2006-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Glossitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0606USA05500

Write-up: Information has been received from a pharmacist concerning a 62 year old female with no known allergies and a history of shingles who on 16-JUN-2006 was vaccinated SC with a dose of varicella-zoster virus vaccine live. There was no concomitant medication. On 18-JUN-2006, two days after vaccination, the patient developed a swollen tongue. The patient reported that when she woke up in the morning her tongue was swollen and she even had teeth impression on her tongue. The patient was scheduled to see her doctor on 28-JUN-2006 since she was still experiencing the problem. She had no problems breathing and eating. As of 28-JUN-2006, it was reported that the patient was recovering. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 7/10/2006. Additional information from the pharmacist indicated that the patient''s condition has resolved and the patient is fine. The physician''s office called the pharmacist to report that the patient''s swollen tongue was not due to ZOSTAVAX (Oka/Merck) but due to the patient''s new toothpaste. No further information is available.


Changed on 12/30/2020

VAERS ID: 259589 Before After
VAERS Form:1
Age:62.0
Sex:Female
Location:Missouri
Vaccinated:2006-06-16
Onset:2006-06-18
Submitted:2006-07-10
Entered:2006-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Glossitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0606USA05500

Write-up: Information has been received from a pharmacist concerning a 62 year old female with no known allergies and a history of shingles who on 16-JUN-2006 was vaccinated SC with a dose of varicella-zoster virus vaccine live. There was no concomitant medication. On 18-JUN-2006, two days after vaccination, the patient developed a swollen tongue. The patient reported that when she woke up in the morning her tongue was swollen and she even had teeth impression on her tongue. The patient was scheduled to see her doctor on 28-JUN-2006 since she was still experiencing the problem. She had no problems breathing and eating. As of 28-JUN-2006, it was reported that the patient was recovering. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 7/10/2006. Additional information from the pharmacist indicated that the patient''s condition has resolved and the patient is fine. The physician''s office called the pharmacist to report that the patient''s swollen tongue was not due to ZOSTAVAX (Oka/Merck) but due to the patient''s new toothpaste. No further information is available.


Changed on 5/7/2021

VAERS ID: 259589 Before After
VAERS Form:1
Age:62.0
Sex:Female
Location:Missouri
Vaccinated:2006-06-16
Onset:2006-06-18
Submitted:2006-07-10
Entered:2006-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Glossitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0606USA05500

Write-up: Information has been received from a pharmacist concerning a 62 year old female with no known allergies and a history of shingles who on 16-JUN-2006 was vaccinated SC with a dose of varicella-zoster virus vaccine live. There was no concomitant medication. On 18-JUN-2006, two days after vaccination, the patient developed a swollen tongue. The patient reported that when she woke up in the morning her tongue was swollen and she even had teeth impression on her tongue. The patient was scheduled to see her doctor on 28-JUN-2006 since she was still experiencing the problem. She had no problems breathing and eating. As of 28-JUN-2006, it was reported that the patient was recovering. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 7/10/2006. Additional information from the pharmacist indicated that the patient''s condition has resolved and the patient is fine. The physician''s office called the pharmacist to report that the patient''s swollen tongue was not due to ZOSTAVAX (Oka/Merck) but due to the patient''s new toothpaste. No further information is available.


Changed on 5/21/2021

VAERS ID: 259589 Before After
VAERS Form:1
Age:62.0
Sex:Female
Location:Missouri
Vaccinated:2006-06-16
Onset:2006-06-18
Submitted:2006-07-10
Entered:2006-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Glossitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0606USA05500

Write-up: Information has been received from a pharmacist concerning a 62 year old female with no known allergies and a history of shingles who on 16-JUN-2006 was vaccinated SC with a dose of varicella-zoster virus vaccine live. There was no concomitant medication. On 18-JUN-2006, two days after vaccination, the patient developed a swollen tongue. The patient reported that when she woke up in the morning her tongue was swollen and she even had teeth impression on her tongue. The patient was scheduled to see her doctor on 28-JUN-2006 since she was still experiencing the problem. She had no problems breathing and eating. As of 28-JUN-2006, it was reported that the patient was recovering. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 7/10/2006. Additional information from the pharmacist indicated that the patient''s condition has resolved and the patient is fine. The physician''s office called the pharmacist to report that the patient''s swollen tongue was not due to ZOSTAVAX (Oka/Merck) but due to the patient''s new toothpaste. No further information is available.

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