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This is VAERS ID 261581

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 261581
VAERS Form:
Age:75.0
Sex:Male
Location:California
Vaccinated:2006-06-20
Onset:2006-07-18
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER VACCINE LIVE (OKA/MERCK) (ZOSTAVAX) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Influenza like illness, Pulmonary congestion, 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: PROSCAR, SYNTHROID, PRAVACHOL, BENEMID
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Information has been received from a 75 year old male consumer with a history of shingles /"once or twice many years ago/" and no other reported allergies or history who approximately 20-JUN-2006 was vaccinated with a dose of varicella-zoster virus vaccin"e live. Concomitant therapy included finasteride (MSD), pravastatin Na (PRAVACHOL), levothyroxine Na (SYNTHROID) and probenecid (BENEMID). About 4 weeks after vaccination, on approximately 18-JUL-2006, the patient developed a high fever and felt very sic


Changed on 12/8/2009

VAERS ID: 261581 Before After
VAERS Form:
Age:75.0
Sex:Male
Location:California
Vaccinated:2006-06-20
Onset:2006-07-18
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. - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Influenza like illness, Pulmonary congestion, 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: PROSCAR, SYNTHROID, PRAVACHOL, BENEMID
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0607USA05370

Write-up: Information has been received from a 75 year old male consumer with a history of shingles /"once "once or twice many years ago/" ago" and no other reported allergies or history who approximately 20-JUN-2006 was vaccinated with a dose of varicella-zoster virus vaccin"e vaccine live. Concomitant therapy included finasteride (MSD), pravastatin Na (PRAVACHOL), levothyroxine Na (SYNTHROID) and probenecid (BENEMID). About 4 weeks after vaccination, on approximately 18-JUL-2006, the patient developed a high fever and felt very sic sick with chest congestion and flu-like symptoms. He said was seen by his doctor and the doctor''s diagnosis was that he had a bacterial infection. Subsequently, the patient recovered. There was no product quality complaint involved. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 261581 Before After
VAERS Form:(blank) 1
Age:75.0
Sex:Male
Location:California
Vaccinated:2006-06-20
Onset:2006-07-18
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pulmonary congestion, 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: PROSCAR, SYNTHROID, PRAVACHOL, BENEMID
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0607USA05370

Write-up: Information has been received from a 75 year old male consumer with a history of shingles "once or twice many years ago" and no other reported allergies or history who approximately 20-JUN-2006 was vaccinated with a dose of varicella-zoster virus vaccine live. Concomitant therapy included finasteride (MSD), pravastatin Na (PRAVACHOL), levothyroxine Na (SYNTHROID) and probenecid (BENEMID). About 4 weeks after vaccination, on approximately 18-JUL-2006, the patient developed a high fever and felt very sick with chest congestion and flu-like symptoms. He said was seen by his doctor and the doctor''s diagnosis was that he had a bacterial infection. Subsequently, the patient recovered. There was no product quality complaint involved. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 261581 Before After
VAERS Form:1
Age:75.0
Sex:Male
Location:California
Vaccinated:2006-06-20
Onset:2006-07-18
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pulmonary congestion, 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: PROSCAR, SYNTHROID, PRAVACHOL, BENEMID
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0607USA05370

Write-up: Information has been received from a 75 year old male consumer with a history of shingles "once or twice many years ago" and no other reported allergies or history who approximately 20-JUN-2006 was vaccinated with a dose of varicella-zoster virus vaccine live. Concomitant therapy included finasteride (MSD), pravastatin Na (PRAVACHOL), levothyroxine Na (SYNTHROID) and probenecid (BENEMID). About 4 weeks after vaccination, on approximately 18-JUL-2006, the patient developed a high fever and felt very sick with chest congestion and flu-like symptoms. He said was seen by his doctor and the doctor''s diagnosis was that he had a bacterial infection. Subsequently, the patient recovered. There was no product quality complaint involved. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 261581 Before After
VAERS Form:1
Age:75.0
Sex:Male
Location:California
Vaccinated:2006-06-20
Onset:2006-07-18
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pulmonary congestion, 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: PROSCAR, SYNTHROID, PRAVACHOL, BENEMID
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0607USA05370

Write-up: Information has been received from a 75 year old male consumer with a history of shingles "once or twice many years ago" and no other reported allergies or history who approximately 20-JUN-2006 was vaccinated with a dose of varicella-zoster virus vaccine live. Concomitant therapy included finasteride (MSD), pravastatin Na (PRAVACHOL), levothyroxine Na (SYNTHROID) and probenecid (BENEMID). About 4 weeks after vaccination, on approximately 18-JUL-2006, the patient developed a high fever and felt very sick with chest congestion and flu-like symptoms. He said was seen by his doctor and the doctor''s diagnosis was that he had a bacterial infection. Subsequently, the patient recovered. There was no product quality complaint involved. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 261581 Before After
VAERS Form:1
Age:75.0
Sex:Male
Location:California
Vaccinated:2006-06-20
Onset:2006-07-18
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pulmonary congestion, 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: PROSCAR, SYNTHROID, PRAVACHOL, BENEMID
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0607USA05370

Write-up: Information has been received from a 75 year old male consumer with a history of shingles "once or twice many years ago" and no other reported allergies or history who approximately 20-JUN-2006 was vaccinated with a dose of varicella-zoster virus vaccine live. Concomitant therapy included finasteride (MSD), pravastatin Na (PRAVACHOL), levothyroxine Na (SYNTHROID) and probenecid (BENEMID). About 4 weeks after vaccination, on approximately 18-JUL-2006, the patient developed a high fever and felt very sick with chest congestion and flu-like symptoms. He said was seen by his doctor and the doctor''s diagnosis was that he had a bacterial infection. Subsequently, the patient recovered. There was no product quality complaint involved. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 261581 Before After
VAERS Form:1
Age:75.0
Sex:Male
Location:California
Vaccinated:2006-06-20
Onset:2006-07-18
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pulmonary congestion, 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: PROSCAR, SYNTHROID, PRAVACHOL, BENEMID
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0607USA05370

Write-up: Information has been received from a 75 year old male consumer with a history of shingles "once or twice many years ago" and no other reported allergies or history who approximately 20-JUN-2006 was vaccinated with a dose of varicella-zoster virus vaccine live. Concomitant therapy included finasteride (MSD), pravastatin Na (PRAVACHOL), levothyroxine Na (SYNTHROID) and probenecid (BENEMID). About 4 weeks after vaccination, on approximately 18-JUL-2006, the patient developed a high fever and felt very sick with chest congestion and flu-like symptoms. He said was seen by his doctor and the doctor''s diagnosis was that he had a bacterial infection. Subsequently, the patient recovered. There was no product quality complaint involved. Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 261581 Before After
VAERS Form:1
Age:75.0
Sex:Male
Location:California
Vaccinated:2006-06-20
Onset:2006-07-18
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pulmonary congestion, 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: PROSCAR, SYNTHROID, PRAVACHOL, BENEMID
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0607USA05370

Write-up: Information has been received from a 75 year old male consumer with a history of shingles "once or twice many years ago" and no other reported allergies or history who approximately 20-JUN-2006 was vaccinated with a dose of varicella-zoster virus vaccine live. Concomitant therapy included finasteride (MSD), pravastatin Na (PRAVACHOL), levothyroxine Na (SYNTHROID) and probenecid (BENEMID). About 4 weeks after vaccination, on approximately 18-JUL-2006, the patient developed a high fever and felt very sick with chest congestion and flu-like symptoms. He said was seen by his doctor and the doctor''s diagnosis was that he had a bacterial infection. Subsequently, the patient recovered. There was no product quality complaint involved. Additional information has been requested.


Changed on 8/14/2019

VAERS ID: 261581 Before After
VAERS Form:1
Age:75.0
Sex:Male
Location:California
Vaccinated:2006-06-20
Onset:2006-07-18
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pulmonary congestion, 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: PROSCAR, SYNTHROID, PRAVACHOL, BENEMID
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0607USA05370

Write-up: Information has been received from a 75 year old male consumer with a history of shingles "once or twice many years ago" and no other reported allergies or history who approximately 20-JUN-2006 was vaccinated with a dose of varicella-zoster virus vaccine live. Concomitant therapy included finasteride (MSD), pravastatin Na (PRAVACHOL), levothyroxine Na (SYNTHROID) and probenecid (BENEMID). About 4 weeks after vaccination, on approximately 18-JUL-2006, the patient developed a high fever and felt very sick with chest congestion and flu-like symptoms. He said was seen by his doctor and the doctor''s diagnosis was that he had a bacterial infection. Subsequently, the patient recovered. There was no product quality complaint involved. Additional information has been requested.


Changed on 12/24/2020

VAERS ID: 261581 Before After
VAERS Form:1
Age:75.0
Sex:Male
Location:California
Vaccinated:2006-06-20
Onset:2006-07-18
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pulmonary congestion, 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: PROSCAR, SYNTHROID, PRAVACHOL, BENEMID
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0607USA05370

Write-up: Information has been received from a 75 year old male consumer with a history of shingles "once or twice many years ago" and no other reported allergies or history who approximately 20-JUN-2006 was vaccinated with a dose of varicella-zoster virus vaccine live. Concomitant therapy included finasteride (MSD), pravastatin Na (PRAVACHOL), levothyroxine Na (SYNTHROID) and probenecid (BENEMID). About 4 weeks after vaccination, on approximately 18-JUL-2006, the patient developed a high fever and felt very sick with chest congestion and flu-like symptoms. He said was seen by his doctor and the doctor''s diagnosis was that he had a bacterial infection. Subsequently, the patient recovered. There was no product quality complaint involved. Additional information has been requested.


Changed on 12/30/2020

VAERS ID: 261581 Before After
VAERS Form:1
Age:75.0
Sex:Male
Location:California
Vaccinated:2006-06-20
Onset:2006-07-18
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pulmonary congestion, 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: PROSCAR, SYNTHROID, PRAVACHOL, BENEMID
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0607USA05370

Write-up: Information has been received from a 75 year old male consumer with a history of shingles "once or twice many years ago" and no other reported allergies or history who approximately 20-JUN-2006 was vaccinated with a dose of varicella-zoster virus vaccine live. Concomitant therapy included finasteride (MSD), pravastatin Na (PRAVACHOL), levothyroxine Na (SYNTHROID) and probenecid (BENEMID). About 4 weeks after vaccination, on approximately 18-JUL-2006, the patient developed a high fever and felt very sick with chest congestion and flu-like symptoms. He said was seen by his doctor and the doctor''s diagnosis was that he had a bacterial infection. Subsequently, the patient recovered. There was no product quality complaint involved. Additional information has been requested.


Changed on 5/7/2021

VAERS ID: 261581 Before After
VAERS Form:1
Age:75.0
Sex:Male
Location:California
Vaccinated:2006-06-20
Onset:2006-07-18
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pulmonary congestion, 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: PROSCAR, SYNTHROID, PRAVACHOL, BENEMID
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0607USA05370

Write-up: Information has been received from a 75 year old male consumer with a history of shingles "once or twice many years ago" and no other reported allergies or history who approximately 20-JUN-2006 was vaccinated with a dose of varicella-zoster virus vaccine live. Concomitant therapy included finasteride (MSD), pravastatin Na (PRAVACHOL), levothyroxine Na (SYNTHROID) and probenecid (BENEMID). About 4 weeks after vaccination, on approximately 18-JUL-2006, the patient developed a high fever and felt very sick with chest congestion and flu-like symptoms. He said was seen by his doctor and the doctor''s diagnosis was that he had a bacterial infection. Subsequently, the patient recovered. There was no product quality complaint involved. Additional information has been requested.


Changed on 5/21/2021

VAERS ID: 261581 Before After
VAERS Form:1
Age:75.0
Sex:Male
Location:California
Vaccinated:2006-06-20
Onset:2006-07-18
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pulmonary congestion, 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: PROSCAR, SYNTHROID, PRAVACHOL, BENEMID
Current Illness:
Preexisting Conditions: Medical history: Shingles
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0607USA05370

Write-up: Information has been received from a 75 year old male consumer with a history of shingles "once or twice many years ago" and no other reported allergies or history who approximately 20-JUN-2006 was vaccinated with a dose of varicella-zoster virus vaccine live. Concomitant therapy included finasteride (MSD), pravastatin Na (PRAVACHOL), levothyroxine Na (SYNTHROID) and probenecid (BENEMID). About 4 weeks after vaccination, on approximately 18-JUL-2006, the patient developed a high fever and felt very sick with chest congestion and flu-like symptoms. He said was seen by his doctor and the doctor''s diagnosis was that he had a bacterial infection. Subsequently, the patient recovered. There was no product quality complaint involved. Additional information has been requested.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=261581&WAYBACKHISTORY=ON


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