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From the 1/7/2022 release of VAERS data:

This is VAERS ID 261580

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Case Details

VAERS ID: 261580 (history)  
Form: Version 1.0  
Age: 67.0  
Sex: Male  
Location: California  
   Days after vaccination:5
Submitted: 2006-08-10
   Days after onset:28
Entered: 2006-08-15
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Private
Symptoms: Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HYTRIN, testosterone
Current Illness: Blood pressure high, enlarged prostate
Preexisting Conditions:
Diagnostic Lab Data: Body temperature, 07/15/2006, 101 F
CDC Split Type: WAES0607USA03744

Write-up: Information has been received from a 67 year old male consumer with high blood pressure and enlarged prostate who on 08-JUL-2006 was vaccinated SC in the left arm with a 0.5 ml dose of varicella-zoster virus vaccine live (Merck). Concomitant therapy included Terazosin hydrochloride (HYTRIN) and testosterone gel. On 13-JUL-2006 the patient experienced soreness in the left arm where the shot was administered. By 14-JUL-2006 the patient had severe muscle pain in the left arm. Aspirin was taken and alleviated the pain. On 15-JUL-2006 the patient developed a fever of 101 degrees. The fever dissipated by the morning of 16-JUL-2006. Unspecified medical attention was sought. The patient recovered on 17-JUL-2006. There was no product quality complaint involved. Additional information has been requested. Follow up - information received from the physician indicated that he did not have any information from the patient about any adverse reactions. Additional information in not expected.

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