National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 261580

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 261580
VAERS Form:
Age:67.0
Sex:Male
Location:California
Vaccinated:2006-07-08
Onset:2006-07-13
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER VACCINE LIVE (OKA/MERCK) (ZOSTAVAX) / MERCK & CO. INC. - / - - / SC

Administered by: Other      Purchased by: Unknown
Symptoms: Myalgia, Pyrexia

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: HYTRIN, testosterone
Current Illness:
Preexisting Conditions: Concurrent conditions: blood pressure high, enlarged prostate
Allergies:
Diagnostic Lab Data: body temperature 07/15/2006 101 F
CDC 'Split Type':

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. Concomitant therapy included Ter"azosin 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


Changed on 12/8/2009

VAERS ID: 261580 Before After
VAERS Form:
Age:67.0
Sex:Male
Location:California
Vaccinated:2006-07-08
Onset:2006-07-13
Submitted:2006-08-10
Entered:2006-08-15
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: Myalgia, Pyrexia

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: HYTRIN, testosterone
Current Illness:
Preexisting Conditions: Concurrent conditions: blood pressure high, enlarged prostate
Allergies:
Diagnostic Lab Data: body temperature 07/15/2006 101 F
CDC 'Split Type': (blank) 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. Concomitant therapy included Ter"azosin 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.


Changed on 1/5/2010

VAERS ID: 261580 Before After
VAERS Form:
Age:67.0
Sex:Male
Location:California
Vaccinated:2006-07-08
Onset:2006-07-13
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - 0621F / - 0 - LA / SC

Administered by: Other Private      Purchased by: Other Private
Symptoms: Myalgia, Pyrexia

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: HYTRIN, testosterone
Current Illness: Blood pressure high, enlarged prostate
Preexisting Conditions: Concurrent conditions: blood pressure high, enlarged prostate
Allergies:
Diagnostic Lab Data: body temperature 07/15/2006 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. 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.


Changed on 6/14/2014

VAERS ID: 261580 Before After
VAERS Form:
Age:67.0
Sex:Male
Location:California
Vaccinated:2006-07-08
Onset:2006-07-13
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 0 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Myalgia, Pyrexia

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: HYTRIN, testosterone
Current Illness: Blood pressure high, enlarged prostate
Preexisting Conditions:
Allergies:
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.


Changed on 2/14/2017

VAERS ID: 261580 Before After
VAERS Form:
Age:67.0
Sex:Male
Location:California
Vaccinated:2006-07-08
Onset:2006-07-13
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 0 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Myalgia, Pyrexia

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: HYTRIN, testosterone
Current Illness: Blood pressure high, enlarged prostate
Preexisting Conditions:
Allergies:
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.


Changed on 9/14/2017

VAERS ID: 261580 Before After
VAERS Form:(blank) 1
Age:67.0
Sex:Male
Location:California
Vaccinated:2006-07-08
Onset:2006-07-13
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 0 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Myalgia, Pyrexia

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: HYTRIN, testosterone
Current Illness: Blood pressure high, enlarged prostate
Preexisting Conditions:
Allergies:
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.


Changed on 2/14/2018

VAERS ID: 261580 Before After
VAERS Form:1
Age:67.0
Sex:Male
Location:California
Vaccinated:2006-07-08
Onset:2006-07-13
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Myalgia, Pyrexia

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: HYTRIN, testosterone
Current Illness: Blood pressure high, enlarged prostate
Preexisting Conditions:
Allergies:
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.


Changed on 6/14/2018

VAERS ID: 261580 Before After
VAERS Form:1
Age:67.0
Sex:Male
Location:California
Vaccinated:2006-07-08
Onset:2006-07-13
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Myalgia, Pyrexia

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: HYTRIN, testosterone
Current Illness: Blood pressure high, enlarged prostate
Preexisting Conditions:
Allergies:
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.


Changed on 8/14/2018

VAERS ID: 261580 Before After
VAERS Form:1
Age:67.0
Sex:Male
Location:California
Vaccinated:2006-07-08
Onset:2006-07-13
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Myalgia, Pyrexia

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: HYTRIN, testosterone
Current Illness: Blood pressure high, enlarged prostate
Preexisting Conditions:
Allergies:
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.


Changed on 9/14/2018

VAERS ID: 261580 Before After
VAERS Form:1
Age:67.0
Sex:Male
Location:California
Vaccinated:2006-07-08
Onset:2006-07-13
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Myalgia, Pyrexia

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: HYTRIN, testosterone
Current Illness: Blood pressure high, enlarged prostate
Preexisting Conditions:
Allergies:
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.


Changed on 10/14/2018

VAERS ID: 261580 Before After
VAERS Form:1
Age:67.0
Sex:Male
Location:California
Vaccinated:2006-07-08
Onset:2006-07-13
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Myalgia, Pyrexia

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: HYTRIN, testosterone
Current Illness: Blood pressure high, enlarged prostate
Preexisting Conditions:
Allergies:
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.


Changed on 8/14/2019

VAERS ID: 261580 Before After
VAERS Form:1
Age:67.0
Sex:Male
Location:California
Vaccinated:2006-07-08
Onset:2006-07-13
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Myalgia, Pyrexia

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: HYTRIN, testosterone
Current Illness: Blood pressure high, enlarged prostate
Preexisting Conditions:
Allergies:
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.


Changed on 12/24/2020

VAERS ID: 261580 Before After
VAERS Form:1
Age:67.0
Sex:Male
Location:California
Vaccinated:2006-07-08
Onset:2006-07-13
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Myalgia, Pyrexia

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: HYTRIN, testosterone
Current Illness: Blood pressure high, enlarged prostate
Preexisting Conditions:
Allergies:
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.


Changed on 12/30/2020

VAERS ID: 261580 Before After
VAERS Form:1
Age:67.0
Sex:Male
Location:California
Vaccinated:2006-07-08
Onset:2006-07-13
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Myalgia, Pyrexia

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: HYTRIN, testosterone
Current Illness: Blood pressure high, enlarged prostate
Preexisting Conditions:
Allergies:
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.


Changed on 5/7/2021

VAERS ID: 261580 Before After
VAERS Form:1
Age:67.0
Sex:Male
Location:California
Vaccinated:2006-07-08
Onset:2006-07-13
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Myalgia, Pyrexia

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: HYTRIN, testosterone
Current Illness: Blood pressure high, enlarged prostate
Preexisting Conditions:
Allergies:
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.


Changed on 5/21/2021

VAERS ID: 261580 Before After
VAERS Form:1
Age:67.0
Sex:Male
Location:California
Vaccinated:2006-07-08
Onset:2006-07-13
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Myalgia, Pyrexia

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: HYTRIN, testosterone
Current Illness: Blood pressure high, enlarged prostate
Preexisting Conditions:
Allergies:
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.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=261580&WAYBACKHISTORY=ON


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166